Mark S Dermer, MD | |
920 Church St N, Ne Ob/gyn Hospitalist Services, Concord, NC 28025-2927 | |
(704) 403-1632 | |
(704) 403-1356 |
Full Name | Mark S Dermer |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 920 Church St N, Concord, 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 |
---|---|---|---|
1023055977 | NPI | - | NPPES |
132289 | Medicaid | SC | |
232009 | Other | NC | MEDICARE GROUP PTAN |
5911607 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 13228 (South Carolina) | Secondary |
207V00000X | Obstetrics & Gynecology | 2009-00338 (North Carolina) | Primary |
Entity Name | Low Country Womens Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811957491 PECOS PAC ID: 4486648995 Enrollment ID: O20040408000976 |
Entity Name | Obhg South Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538457361 PECOS PAC ID: 7012182504 Enrollment ID: O20111212000681 |
Entity Name | Uwh Of The Carolinas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639506470 PECOS PAC ID: 0042448169 Enrollment ID: O20210318002461 |
Mailing Address | Practice Location Address |
---|---|
Mark S Dermer, MD 920 Church St N, Ne Ob/gyn Hospitalist Services, Concord, NC 28025-2927 Ph: (704) 403-1632 | Mark S Dermer, MD 920 Church St N, Ne Ob/gyn Hospitalist Services, Concord, NC 28025-2927 Ph: (704) 403-1632 |
Allison Marie Ring, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9955 Poplar Tent Rd, Concord, NC 28027 Phone: 704-316-4828 Fax: 704-316-4829 | |
Clara Maria Croce, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1054 Burrage Rd Ne, Concord, NC 28025 Phone: 704-403-7800 | |
Jennifer Alicia Cross, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 349 Penny Ln, Concord, NC 28025 Phone: 704-786-7158 | |
Steven Paterno, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 349 Penny Ln, Concord, NC 28025 Phone: 704-786-7158 | |
Ajay Arun Patil, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 349 Penny Ln, Concord, NC 28025 Phone: 704-786-7158 | |
Margaret Stephanie Dutton, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9955 Poplar Tent Rd, Concord, NC 28027 Phone: 704-316-4828 Fax: 704-316-4829 |