Mark Philip Cheltenham, MD | |
628 Doddington Dr, Rolesville, NC 27571-9700 | |
(919) 761-8693 | |
Not Available |
Full Name | Mark Philip Cheltenham |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 22 Years |
Location | 628 Doddington Dr, Rolesville, 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 |
---|---|---|---|
1114027588 | NPI | - | NPPES |
58606 | Other | BOARD CERTIFICATION ABPN | |
5911546 | Medicaid | NC | |
2007-00205 | Other | NC | STATE LICENSE |
MD425741 | Other | PA | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2007-00205 (North Carolina) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD425741 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Nash General Hospital | Rocky mount, NC | Hospital |
Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Garner Behavioral Hospital Llc | 4981072238 | 9 |
Nhcs Physicians Inc | 7719209154 | 63 |
Forsyth Memorial Hospital Inc | 9537071790 | 516 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Forsyth Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
Entity Name | Vidant Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Entity Name | Nhcs Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215336870 PECOS PAC ID: 7719209154 Enrollment ID: O20141215000093 |
Entity Name | Triangle Springs Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063901312 PECOS PAC ID: 7214283266 Enrollment ID: O20180703003145 |
Entity Name | Garner Behavioral Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548049679 PECOS PAC ID: 4981072238 Enrollment ID: O20231107001800 |
Mailing Address | Practice Location Address |
---|---|
Mark Philip Cheltenham, MD 628 Doddington Dr, Rolesville, NC 27571-9700 Ph: (919) 761-8693 | Mark Philip Cheltenham, MD 628 Doddington Dr, Rolesville, NC 27571-9700 Ph: (919) 761-8693 |