James O Wyatt, MD | |
1002 N Church St, Suite 302, Greensboro, NC 27401-1439 | |
(336) 387-8100 | |
(336) 387-8202 |
Full Name | James O Wyatt |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1002 N Church St, Greensboro, 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 |
---|---|---|---|
1770567356 | NPI | - | NPPES |
89-1257A | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 200000335 (North Carolina) | Primary |
Entity Name | Central Carolina Surgery Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821050451 PECOS PAC ID: 1557274354 Enrollment ID: O20031107000454 |
Mailing Address | Practice Location Address |
---|---|
James O Wyatt, MD 1002 N Church St, Suite 302, Greensboro, NC 27401-1439 Ph: (336) 387-8100 | James O Wyatt, MD 1002 N Church St, Suite 302, Greensboro, NC 27401-1439 Ph: (336) 387-8100 |
Dr. Todd M Gerkin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 N Church St, Suite 302, Greensboro, NC 27401 Phone: 336-387-8100 Fax: 336-387-8202 | |
Bryan K Bartle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 E Wendover Ave, Suite 411, Greensboro, NC 27401 Phone: 336-832-3200 Fax: 336-832-3201 | |
Dr. Roy Marc Arkin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 613 Woodvale Dr., Greensboro, NC 27410 Phone: 336-294-0207 | |
Gregory Metzger, MD Surgery Medicare: Medicare Enrolled Practice Location: 1002 N Church St Ste 302, Greensboro, NC 27401 Phone: 336-387-8100 | |
Dr. Chelsea Amanda Connor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 N Church St Ste 302, Greensboro, NC 27401 Phone: 336-387-8100 Fax: 336-387-8202 | |
Dr. Christian J Streck, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1002 N Church St, Suite 302, Greensboro, NC 27401 Phone: 336-387-8100 Fax: 336-387-8202 | |
Dr. Daniel Paul Luppens, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 N Church St Ste 100, Greensboro, NC 27401 Phone: 336-890-2210 |