Rebecca Lane, | |
1225 E Garrison Blvd, Gastonia, NC 28054-5115 | |
(704) 865-7416 | |
(704) 865-7232 |
Full Name | Rebecca Lane |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1225 E Garrison Blvd, Gastonia, 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 |
---|---|---|---|
1386207009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2023-00871 (North Carolina) | Primary |
Entity Name | Caromont Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Lane, Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 834-2450 | Rebecca Lane, 1225 E Garrison Blvd, Gastonia, NC 28054-5115 Ph: (704) 865-7416 |
Dr. Irvin R Bonnin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 991 W Hudson Blvd, Gastonia, NC 28052 Phone: 704-853-5000 Fax: 704-862-6194 | |
Carolin Haeusler Rossavik, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 620 Summit Crossing Pl Ste 108a, Gastonia, NC 28054 Phone: 704-865-2229 Fax: 704-865-2811 | |
Kelvin C Harris, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2680 Aberdeen Blvd, Suite A, Gastonia, NC 28054 Phone: 704-865-2229 Fax: 704-865-2811 | |
Dr. Erica Cunill, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 991 W Hudson Blvd, Gastonia, NC 28052 Phone: 704-853-5000 Fax: 704-862-5353 | |
Tamara Allen Means, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl Ste 108a, Gastonia, NC 28054 Phone: 704-865-2229 Fax: 704-865-2811 | |
Cortney Raye Booth, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 620 Summit Crossing Pl Ste 108a, Gastonia, NC 28054 Phone: 704-671-5313 | |
Dr. Chanel Bonds Roper, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1225 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5343 |