Kevin W Carroll, MD | |
3623 Latrobe Drive, Ste 216, Charlotte, NC 28211 | |
(704) 332-1291 | |
(704) 332-5206 |
Full Name | Kevin W Carroll |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 3623 Latrobe Drive, Charlotte, 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 |
---|---|---|---|
1265470421 | NPI | - | NPPES |
7444122 | Other | AETNA PPO | |
Q35085 | Medicaid | SC | |
ME80038 | Other | FL | FLORIDA LICENSE |
2381250 | Other | AETNA HMO | |
35085 | Other | NC | NC LICENSE |
259310600 | Medicaid | FL | |
35604 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 35085 (North Carolina) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | ME80038 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
Novant Health Matthews Medical Center | Matthews, NC | Hospital |
Novant Health Huntersville Medical Center | Huntersville, NC | Hospital |
Novant Health Rowan Medical Center | Salisbury, NC | Hospital |
Lake Norman Regional Medical Center | Mooresville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mecklenburg Radiology Associates Pa | 6800789587 | 80 |
Entity Name | Mecklenburg Radiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295790657 PECOS PAC ID: 6800789587 Enrollment ID: O20040205001004 |
Mailing Address | Practice Location Address |
---|---|
Kevin W Carroll, MD Po Box 221249, Charlotte, NC 28222-1249 Ph: (704) 332-1291 | Kevin W Carroll, MD 3623 Latrobe Drive, Ste 216, Charlotte, NC 28211 Ph: (704) 332-1291 |
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 | |
Kelli A. Reardon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Queens Rd, Charlotte, NC 28204 Phone: 434-982-0777 Fax: 434-982-0792 | |
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 |