Jay R Chittoor, DO is a
Dermatology physician based in Fort Liberty, North Carolina. Jay R Chittoor is licensed to practice in Virginia (license number 0102206235) and his current practice location is 2817 Rock Merritt Avenue, Fort Liberty, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 907-6000.
NPI number for Jay R Chittoor is 1770141715 and his current mailing address is 2817 Rock Merritt Ave, Fort Liberty, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770141715.
Physician's Profile
Full Name | Jay R Chittoor |
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Gender | Male |
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Speciality | Dermatology |
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Location | 2817 Rock Merritt Avenue, Fort Liberty, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770141715
- Provider Enumeration Date: 06/04/2019
- Last Update Date: 08/23/2024
Medical Identifiers
Medical identifiers for Jay R Chittoor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770141715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0102206235 (Virginia) | Secondary |
207N00000X | Dermatology | 0102206235 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jay R Chittoor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jay R Chittoor, DO 2817 Rock Merritt Ave, Fort Liberty, NC 28310-0001 Ph: (910) 907-6000 | Jay R Chittoor, DO 2817 Rock Merritt Avenue, Fort Liberty, NC 28310-0001 Ph: (910) 907-6000 |
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