Kathleen Wunder Persavich, MD | |
2400 South Blvd Ste 103, Charlotte, NC 28203-5773 | |
(704) 316-3000 | |
(704) 316-3001 |
Full Name | Kathleen Wunder Persavich |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 15 Years |
Location | 2400 South Blvd Ste 103, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689808123 | NPI | - | NPPES |
1689808123 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 157376 (North Carolina) | Secondary |
207V00000X | Obstetrics & Gynecology | 2013-00887 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novant Medical Group Inc | 1153234893 | 2023 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Wunder Persavich, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 316-3000 | Kathleen Wunder Persavich, MD 2400 South Blvd Ste 103, Charlotte, NC 28203-5773 Ph: (704) 316-3000 |
Jackie Alan Lucas, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Ste 450, Charlotte, NC 28204 Phone: 704-446-7800 | |
Lynn Amy Boardman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544 | |
Dr. Simon Vivian Ward Iii, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1918 Randolph Rd, Suite 670, Charlotte, NC 28207 Phone: 704-384-1620 Fax: 704-384-1626 | |
Curtis Lee Flood, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1901 E 5th St, Charlotte, NC 28204 Phone: 980-367-4363 Fax: 704-384-1644 | |
Grant Blanchard, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544 | |
Roland Pixley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204 Phone: 704-446-1700 | |
Katherine Elizabeth Akeley, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4525 Cameron Valley Pkwy Ste 2500, Charlotte, NC 28211 Phone: 704-446-1700 |