Leslie Potter, DO | |
10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | |
(888) 849-7379 | |
(855) 857-7333 |
Full Name | Leslie Potter |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 10130 Perimeter Pkwy Ste 200, 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 |
---|---|---|---|
1154605897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2016-01194 (North Carolina) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 03479 (Kentucky) | Secondary |
Entity Name | Commonwealth Of Kentucky |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790816395 PECOS PAC ID: 9436122710 Enrollment ID: O20040816000397 |
Mailing Address | Practice Location Address |
---|---|
Leslie Potter, DO 220 Faison Dr, Columbia, SC 29203-3210 Ph: (803) 935-7140 | Leslie Potter, DO 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 Ph: (888) 849-7379 |
Ryan Alan Williamson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-9437 | |
Soong Hyun Lee, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Behavioral Health Center Cmc Randolph, 501 Billingsley Road, Charlotte, NC 28211 Phone: 704-358-2700 Fax: 704-358-2716 | |
Dr. Richard David Jacobson, MD, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4228 Brookfield Dr, Charlotte, NC 28210 Phone: 615-345-5400 | |
Dr. T Hemanth Rao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2607 E 7th St Ste 200, Charlotte, NC 28204 Phone: 704-449-6064 Fax: 704-731-0936 | |
Dr. Sumul Modi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5500 Executive Center Dr Ste 206, Charlotte, NC 28212 Phone: 984-777-9940 Fax: 877-794-5929 | |
Hristos Christopher Karanikas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400 | |
Timothy Cooper King, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400 |