Dr Max Gucilatar, MD | |
51 Office Park Dr, Jacksonville, NC 28546-7327 | |
(910) 577-5199 | |
(910) 577-3424 |
Full Name | Dr Max Gucilatar |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 51 Office Park Dr, Jacksonville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710950548 | NPI | - | NPPES |
64109705 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2010-01364 (North Carolina) | Primary |
174400000X | Specialist | 39507 (Kentucky) | Secondary |
Entity Name | Jefferson County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881294536 PECOS PAC ID: 9335059575 Enrollment ID: O20031223000606 |
Entity Name | Jefferson County Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1376648329 PECOS PAC ID: 9335059575 Enrollment ID: O20061104000156 |
Entity Name | Jefferson County Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1760581763 PECOS PAC ID: 9335059575 Enrollment ID: O20070110000357 |
Mailing Address | Practice Location Address |
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Dr Max Gucilatar, MD 51 Office Park Dr, Jacksonville, NC 28546-7327 Ph: (910) 577-5199 | Dr Max Gucilatar, MD 51 Office Park Dr, Jacksonville, NC 28546-7327 Ph: (910) 577-5199 |
Michael David Hofmann, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3050 Henderson Dr, Jacksonville, NC 28546 Phone: 910-353-2660 Fax: 910-353-2770 | |
Dr. Anna Skaskiw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 118 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-577-1150 | |
Dr. Evgeniya Nikolaevna Chisenhall, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-577-1150 | |
Jugta Kahai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-577-1150 | |
Adriane Kacho Eng-osborne, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-353-1536 | |
Dr. Suzanne Stelmach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 612 College St, Jacksonville, NC 28540 Phone: 910-347-2154 Fax: 910-347-3165 | |
Dr. Jacquelyn Marie Burnett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr Ste B, Jacksonville, NC 28546 Phone: 910-634-3555 Fax: 910-442-8826 |