Mark Thomas Edge, PHD MD | |
620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 | |
(704) 867-8021 | |
(704) 864-4606 |
Full Name | Mark Thomas Edge |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 30 Years |
Location | 620 Summit Crossing Pl, Gastonia, 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 |
---|---|---|---|
1003899766 | NPI | - | NPPES |
D4988 | Other | MEDCOST | |
N0089D | Medicaid | SC | |
560988142 | Other | UNITED HEALTHCARE | |
3616445 | Other | AETNA HMO | |
89132UH | Medicaid | NC | |
132UH | Other | BLUE CROSS BLUE SHIELD | |
7436626 | Other | AETNA PPO | |
801319 | Other | PARTNERS | |
P00167818 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0700X | Radiology - Neuroradiology | 200200890 (North Carolina) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 200200890 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caromont Regional Medical Center | Gastonia, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gaston Radiology Pa | 4082680806 | 18 |
Entity Name | Gaston Radiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356324487 PECOS PAC ID: 4082680806 Enrollment ID: O20040902001290 |
Mailing Address | Practice Location Address |
---|---|
Mark Thomas Edge, PHD MD 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Ph: (704) 867-8021 | Mark Thomas Edge, PHD MD 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Ph: (704) 867-8021 |
Renee Raimondi Deweese, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Summit Crossing Place, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Christopher Johannus Vandermeer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Dr. Richard S Herring, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054 Phone: 404-712-4686 | |
Heather Ann Pickford, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Christopher William Saltmarsh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 | |
Chad Michael Clark, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 Phone: 704-867-8021 Fax: 704-864-4606 |