Gregory Allen Mantooth, MD | |
5815 Blakeney Park Dr Ste 100, Charlotte, NC 28277-5732 | |
(704) 542-2220 | |
(704) 542-3304 |
Full Name | Gregory Allen Mantooth |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 31 Years |
Location | 5815 Blakeney Park Dr Ste 100, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124029707 | NPI | - | NPPES |
8912965 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 200101091 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Plastic Surgery And Dermatology Pa | 6800875188 | 49 |
Entity Name | Piedmont Plastic Surgery & Dermatology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801832837 PECOS PAC ID: 6800875188 Enrollment ID: O20040719001562 |
Mailing Address | Practice Location Address |
---|---|
Gregory Allen Mantooth, MD 1072 X Ray Dr Ste B, Gastonia, NC 28054-7488 Ph: (704) 671-1094 | Gregory Allen Mantooth, MD 5815 Blakeney Park Dr Ste 100, Charlotte, NC 28277-5732 Ph: (704) 542-2220 |
Dr. Michael Steven Gart, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1915 Randolph Rd, Charlotte, NC 28207 Phone: 704-323-2000 | |
Dr. Ryan Michael Garcia, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1915 Randolph Rd, Charlotte, NC 28207 Phone: 704-323-2000 | |
Dr. Miguel Angel Yanez, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5815 Blakeney Park Dr Ste 100, Charlotte, NC 28277 Phone: 704-542-2220 Fax: 704-572-3304 | |
Dr. Andrew Ihab Abadeer, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1915 Randolph Rd, 2nd Floor, Charlotte, NC 28207 Phone: 704-323-2426 | |
David Charles Alexander Fisher, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Ste 200, Charlotte, NC 28204 Phone: 704-446-6810 | |
Michael H Carstens, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1719 South Blvd # B, Charlotte, NC 28203 Phone: 704-375-2955 Fax: 704-377-2766 |