Laura O'donnell, MD | |
656 Carpenter Ave, Mooresville, NC 28115-2538 | |
(704) 664-5133 | |
Not Available |
Full Name | Laura O'donnell |
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Gender | Female |
Speciality | Pediatrics |
Location | 656 Carpenter Ave, Mooresville, 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 |
---|---|---|---|
1215912803 | NPI | - | NPPES |
89137VH | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 200301394 (North Carolina) | Primary |
2080A0000X | Pediatrics - Adolescent Medicine | 200301394 (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 |
---|---|
Laura O'donnell, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (844) 266-8268 | Laura O'donnell, MD 656 Carpenter Ave, Mooresville, NC 28115-2538 Ph: (704) 664-5133 |
Laura Therese Recchi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 136 Gateway Blvd Ste A, Mooresville, NC 28117 Phone: 704-799-2878 Fax: 704-799-1627 | |
Elizabeth Ellen Tilt, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 511 Lisa Carol Dr, Mooresville, NC 28115 Phone: 704-651-3907 | |
Gianna Demos Madrid, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 656 Carpenter Ave, Mooresville, NC 28115 Phone: 704-664-5133 Fax: 704-799-6356 | |
Dr. Stephen James Malloney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 134 Medical Park Rd Ste 100, Mooresville, NC 28117 Phone: 704-662-0106 Fax: 808-290-6369 | |
Shelley H. Rinker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 133 Welton Way, Suite C, Mooresville, NC 28117 Phone: 704-664-2552 Fax: 704-664-5382 | |
Lisa Schroepfer Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 136 Gateway Blvd Ste A, Mooresville, NC 28117 Phone: 704-799-2878 Fax: 704-799-1627 | |
Amy Poteat Ferguson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 656 Carpenter Ave, Mooresville, NC 28115 Phone: 704-664-5133 |