Joseph C Mazzola, DO | |
310 Davie Ave, Statesville, NC 28677-5319 | |
(704) 873-3269 | |
(704) 871-8159 |
Full Name | Joseph C Mazzola |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 310 Davie Ave, Statesville, 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 |
---|---|---|---|
1457368185 | NPI | - | NPPES |
5916859 | Medicaid | NC | |
00911787E | Medicaid | GA | |
NC2409A293 | Other | NC | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 049190 (Georgia) | Secondary |
207Q00000X | Family Medicine | 2010-01894 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iredell Physician Network Llc | 0749345007 | 66 |
Entity Name | Iredell Memorial Hospital, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548230204 PECOS PAC ID: 0648175927 Enrollment ID: O20040305000537 |
Entity Name | Iredell Physician Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811381593 PECOS PAC ID: 0749345007 Enrollment ID: O20090219000651 |
Mailing Address | Practice Location Address |
---|---|
Joseph C Mazzola, DO Po Box 896199, Charlotte, NC 28289-6199 Ph: (833) 936-1364 | Joseph C Mazzola, DO 310 Davie Ave, Statesville, NC 28677-5319 Ph: (704) 873-3269 |
Dr. Brandi Gallaher Kennedy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1446 Fern Creek Dr, Statesville, NC 28625 Phone: 704-873-9617 Fax: 704-761-6985 | |
Daniel Dwight Bellingham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 | |
Dwight Nicolas Bellingham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 | |
Daniela Getuza Isfan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 708 Hartness Rd, Statesville, NC 28677 Phone: 704-923-9423 | |
Todd Clark Sommer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-838-7461 Fax: 704-838-7467 | |
Teresa Romzick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2341 Simonton Rd, Statesville, NC 28625 Phone: 704-761-2400 Fax: 704-761-2399 |