Kelli A Reardon, MD | |
200 Queens Rd, Charlotte, NC 28204-3253 | |
(434) 982-0777 | |
(434) 982-0792 |
Full Name | Kelli A Reardon |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 16 Years |
Location | 200 Queens Rd, 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 |
---|---|---|---|
1013175769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 2015-01879 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
Novant Health Thomasville Medical Center | Thomasville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Radiation Oncology P A | 6204931082 | 5 |
Entity Name | Piedmont Radiation Oncology P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134219108 PECOS PAC ID: 6204931082 Enrollment ID: O20070424000281 |
Mailing Address | Practice Location Address |
---|---|
Kelli A Reardon, MD 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 Ph: (704) 333-7376 | Kelli A Reardon, MD 200 Queens Rd, Charlotte, NC 28204-3253 Ph: (434) 982-0777 |
Whitney Feltus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 980-208-1704 Fax: 704-926-1832 | |
Edward Barnwell Black, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1705 East Blvd, Charlotte, NC 28203 Phone: 704-909-5960 Fax: 704-770-0501 | |
Thaddeus Drexel Houston, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 East Blvd, Charlotte, NC 28203 Phone: 704-334-7800 Fax: 704-414-7512 | |
Matthew James Locker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 Fax: 704-926-1832 | |
Robert Duprey, Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 E Morehead St Ste 300, Charlotte, NC 28202 Phone: 704-334-7800 | |
Mr. Andrew Joseph Bojanowski, PA-C Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 |