Nicholas Wieczorek, MD | |
6000 Fairview Rd Ste 1200, Charlotte, NC 28210-2252 | |
(704) 626-2505 | |
(704) 626-2505 |
Full Name | Nicholas Wieczorek |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 13 Years |
Location | 6000 Fairview Rd Ste 1200, Charlotte, 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 |
---|---|---|---|
1215212691 | NPI | - | NPPES |
20-38651 | Other | SC | CSR |
1215212691 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 57020097 (Ohio) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 183488 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medrehab Specialists Of North Carolina Pa | 7911138268 | 2 |
Medrehab Specialists Of North Carolina Pa | 7911138268 | 2 |
Entity Name | Medrehab Specialists Of North Carolina Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245653872 PECOS PAC ID: 7911138268 Enrollment ID: O20140329000070 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Wieczorek, MD 303 Perimeter Ctr N, Ste 300, Atlanta, GA 30346-3401 Ph: (704) 626-2505 | Nicholas Wieczorek, MD 6000 Fairview Rd Ste 1200, Charlotte, NC 28210-2252 Ph: (704) 626-2505 |
Tiffany Hairston, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2144 Maplecrest Dr, Charlotte, NC 28212 Phone: 980-230-9405 | |
Antonio Tom Howard, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5735 Prosperity Crossing Dr, Ste 2100, Charlotte, NC 28269 Phone: 704-863-4878 | |
William L. Bockenek, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-9330 | |
Mr. George Crosby Iii, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1918 Randolph Rd, Ste 600, Charlotte, NC 28207 Phone: 704-342-0252 Fax: 704-342-1853 | |
Leon M. Chandler, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10648 Park Rd, Charlotte, NC 28210 Phone: 704-355-9330 | |
Swaroop Sadashiv Gonchikar, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2001 Randolph Rd, Charlotte, NC 28207 Phone: 704-323-2000 | |
Leigh Ann Comerci, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4000 |