Kenneth D Weeks, MD | |
2801 Randolph Rd, Suite 101, Charlotte, NC 28211-1047 | |
(704) 384-7910 | |
(704) 384-7914 |
Full Name | Kenneth D Weeks |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 2801 Randolph Rd, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053311282 | NPI | - | NPPES |
7986315 | Medicaid | NC | |
N22644 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 22644 (North Carolina) | Primary |
207RS0012X | Internal Medicine - Sleep Medicine | 22644 (North Carolina) | Secondary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
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Kenneth D Weeks, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 316-3820 | Kenneth D Weeks, MD 2801 Randolph Rd, Suite 101, Charlotte, NC 28211-1047 Ph: (704) 384-7910 |
Dr. Anish Kaushik Vani, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 125 Queens Rd Ste 200, Charlotte, NC 28204 Phone: 704-343-9800 Fax: 704-347-2011 | |
John Michael Fedor, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212 | |
Dr. Michael Warren Smith, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6115 Park South Dr Ste 100, Charlotte, NC 28210 Phone: 704-554-8787 Fax: 704-554-8774 | |
William Lane Jr., MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-4490 | |
Dr. Alagusivakumari Rameshbabu, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-667-8050 | |
Shibin Thomas Jacob, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 E W T Harris Blvd, Bldg 5000 Suite #5101, Charlotte, NC 28262 Phone: 704-863-5847 | |
Oscar Sven Brann, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287 Phone: 704-489-3094 |