Rachel Lynn Wiese, MD | |
332 N Trade St, Ste 1500, Matthews, NC 28105-1728 | |
(704) 512-6820 | |
Not Available |
Full Name | Rachel Lynn Wiese |
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Gender | Female |
Speciality | Pediatrics |
Location | 332 N Trade St, Matthews, 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 |
---|---|---|---|
1376515502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 9700425 (North Carolina) | Primary |
Entity Name | Charlotte Pediatric Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710914171 PECOS PAC ID: 1658263298 Enrollment ID: O20040327000227 |
Mailing Address | Practice Location Address |
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Rachel Lynn Wiese, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Rachel Lynn Wiese, MD 332 N Trade St, Ste 1500, Matthews, NC 28105-1728 Ph: (704) 512-6820 |
Kevin Leal, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 332 N Trade St # 1500, Matthews, NC 28105 Phone: 704-512-6820 | |
Blaire Marie Williams Smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St Ste 100, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-849-9760 | |
Dr. Meredith Calcina Davitte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105 Phone: 704-384-1080 | |
Dr. Hala Ahmed Elhemaily, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-844-2068 | |
Courtney Gregg Self, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St Ste 100, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-849-9760 | |
Dr. Latonya Danielle Griffin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy, Suite 320, Matthews, NC 28105 Phone: 704-316-3145 Fax: 704-316-3146 | |
Dr. Varsha Laxman Pherwani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-847-9760 |