Pedro Cervantes Fanning, MD | |
13532 Steelecroft Parkway, Charlotte, NC 28278-7545 | |
(704) 295-3475 | |
(704) 295-3476 |
Full Name | Pedro Cervantes Fanning |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 24 Years |
Location | 13532 Steelecroft Parkway, 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 |
---|---|---|---|
1760633812 | NPI | - | NPPES |
P01840923 | Other | NC | RAILROAD MEDICARE |
7151944 | Other | CIGNA | |
NC2885 | Medicaid | SC | |
9973753 | Other | AETNA | |
19N11 | Other | NC | BCBSNC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 2016-01762 (North Carolina) | Primary |
207W00000X | Ophthalmology | 036129100 (Illinois) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charlotte Eye Ear Nose And Throat Associates Pa | 0446155451 | 148 |
Charlotte Eye Ear Nose And Throat Associates Pa | 0446155451 | 148 |
Entity Name | Charlotte Eye Ear Nose & Throat Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043287469 PECOS PAC ID: 0446155451 Enrollment ID: O20031203000519 |
Mailing Address | Practice Location Address |
---|---|
Pedro Cervantes Fanning, MD 6035 Fairview Rd, Charlotte, NC 28210-3256 Ph: (704) 295-3000 | Pedro Cervantes Fanning, MD 13532 Steelecroft Parkway, Charlotte, NC 28278-7545 Ph: (704) 295-3475 |
Dr. Lisa Anne Collea, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 6035 Fairview Rd, Charlotte, NC 28210 Phone: 704-295-3000 Fax: 704-295-3468 | |
Ernest M. Bhend, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6035 Fairview Rd, Charlotte, NC 28210 Phone: 704-295-3000 Fax: 704-295-3121 | |
Dr. James Wesley Heroman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 497 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-5424 Fax: 704-376-5354 | |
Dr. Benjamin Charles Kramer, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 135 S Sharon Amity Rd Ste 100, Charlotte, NC 28211 Phone: 704-365-0555 Fax: 704-367-8120 | |
Jeffrey Ryan Stetler, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 6035 Fairview Rd, Charlotte, NC 28210 Phone: 704-295-3000 Fax: 704-295-3468 | |
Dr. Samuel Santander, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3621 Randolph Road, Suite 100, Charlotte, NC 28211 Phone: 704-332-9365 Fax: 704-364-7384 | |
Dr. Judy Diane Hustead, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 135 S Sharon Amity Rd, Suite 100, Charlotte, NC 28211 Phone: 704-365-0555 Fax: 704-367-8124 |