Dr John Michael Neidecker, DO | |
11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 | |
(919) 562-9410 | |
(919) 562-2948 |
Full Name | Dr John Michael Neidecker |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 17 Years |
Location | 11200 Governor Manly Way Ste 309, Raleigh, 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 |
---|---|---|---|
1821289174 | NPI | - | NPPES |
MB08631900 | Other | NJ | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 207Q00000X (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopaedic Specialists Of North Carolina, P.a. | 7810974375 | 55 |
Entity Name | Orthopaedic Specialists Of North Carolina, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649327750 PECOS PAC ID: 7810974375 Enrollment ID: O20040701001349 |
Mailing Address | Practice Location Address |
---|---|
Dr John Michael Neidecker, DO Po Box 1107, Wake Forest, NC 27588-1107 Ph: (919) 562-9410 | Dr John Michael Neidecker, DO 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375 Ph: (919) 562-9410 |
Conrad Flick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Bush St, Raleigh, NC 27609 Phone: 919-875-8150 Fax: 919-875-9577 | |
Dr. Christopher Zaguirre Rayala, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 E Davie St, Raleigh, NC 27601 Phone: 919-834-5299 | |
Dr. Mona Soliman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11200 Governor Manly Way, Raleigh, NC 27614 Phone: 919-570-7700 | |
Douglas Ira Hammer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1207 Watauga St, Raleigh, NC 27604 Phone: 919-215-5078 | |
William Grant Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11200 Governor Manly Way, Raleigh, NC 27614 Phone: 919-747-5270 Fax: 919-747-5271 | |
Mrs. Soenda P Norman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10211 Alm St, Suite 1200, Raleigh, NC 27617 Phone: 919-206-4889 Fax: 919-206-4875 | |
Dr. Jason Joseph Troiano, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Donald Ross Dr, Raleigh, NC 27610 Phone: 919-250-3320 |