Michael Kitson Kaczmarek, MD | |
1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2911 | |
(704) 782-1892 | |
Not Available |
Full Name | Michael Kitson Kaczmarek |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 24 Years |
Location | 1028 Lee Ann Dr Ne, Concord, 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 |
---|---|---|---|
1376591149 | NPI | - | NPPES |
141V9 | Other | NC | BCBS |
5903304 | Medicaid | NC | |
225474 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 200501956 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Self Regional Healthcare | Greenwood, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Self Medical Group | 6002953916 | 326 |
Entity Name | St Francis Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558305995 PECOS PAC ID: 3779487186 Enrollment ID: O20031126000091 |
Entity Name | Self Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Entity Name | Vituity-south Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194328724 PECOS PAC ID: 5698188522 Enrollment ID: O20210113001571 |
Mailing Address | Practice Location Address |
---|---|
Michael Kitson Kaczmarek, MD 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2911 Ph: (704) 782-1892 | Michael Kitson Kaczmarek, MD 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025-2911 Ph: (704) 782-1892 |
Amber Gombash, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000 | |
David Petrovich Rusev, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000 | |
Dr. Jon L Hobbs, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1028 Lee Ann Dr Ne, Concord, NC 28025 Phone: 704-782-1892 Fax: 704-786-1890 | |
Neel Andharia, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000 | |
Dr. Gregory Lawrence Geers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1028 Lee Ann Dr Ne, Suite 200, Concord, NC 28025 Phone: 704-782-1892 Fax: 704-786-1890 | |
Dr. Melissa Amy Ribeiro, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 248-408-1013 | |
Rachel Price Giller, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-782-9421 |