Ralph L Bentley, MD | |
1022 Shelton Ave, Statesville, NC 28677-6826 | |
(704) 768-2080 | |
Not Available |
Full Name | Ralph L Bentley |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1022 Shelton Ave, Statesville, 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 |
---|---|---|---|
1912999681 | NPI | - | NPPES |
15000 | Other | NC | BCBSNC |
8915000 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 11792 (North Carolina) | Primary |
Entity Name | Gaston Family Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
Mailing Address | Practice Location Address |
---|---|
Ralph L Bentley, MD 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1904 | Ralph L Bentley, MD 1022 Shelton Ave, Statesville, NC 28677-6826 Ph: (704) 768-2080 |
Dr. Jon Ryan Hutchinson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 558 Kitchings Dr, Statesville, NC 28677 Phone: 704-838-8255 Fax: 704-871-9099 | |
Elizabeth Whitley Fickling Rashley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245 | |
Ellyn Pearson Mullis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1022 Shelton Ave, Statesville, NC 28677 Phone: 704-768-2088 Fax: 704-768-2081 | |
Geoffrey Alan Abell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 925 Thomas St Ste A, Statesville, NC 28677 Phone: 704-872-9595 Fax: 704-872-5851 | |
Walter Curtis Gessler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245 | |
Andrea Iyekepolo, Pediatrics Medicare: Medicare Enrolled Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245 Fax: 704-924-4282 | |
Tara Moon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1410 Fern Creek Dr, Statesville, NC 28625 Phone: 704-978-2379 Fax: 704-978-2380 |