Robert Alexander Erdin Iii, MD | |
200 Medical Park Dr Ste 400, Concord, NC 28025-0939 | |
(704) 786-1108 | |
(704) 782-1826 |
Full Name | Robert Alexander Erdin Iii |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 200 Medical Park Dr Ste 400, Concord, 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 |
---|---|---|---|
1538144209 | NPI | - | NPPES |
1405P | Other | BCBC OF NC | |
2420568001 | Other | CIGNA HEALTHCARE | |
5643601 | Other | FIRST HEALTH | |
182459 | Other | MEDCOST | |
7112718 | Other | AETNA US HEALTHCARE | |
CCN | Other | 5643601 | |
5902477 | Medicaid | NC | |
Q0149K | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 200401495 (North Carolina) | Secondary |
207X00000X | Orthopaedic Surgery | 200401495 (North Carolina) | Primary |
Entity Name | Magnolia Professional Billing |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528592961 PECOS PAC ID: 2860760279 Enrollment ID: O20170607001996 |
Mailing Address | Practice Location Address |
---|---|
Robert Alexander Erdin Iii, MD 4601 Park Rd, Suite 300, Charlotte, NC 28209-3239 Ph: (704) 323-2000 | Robert Alexander Erdin Iii, MD 200 Medical Park Dr Ste 400, Concord, NC 28025-0939 Ph: (704) 786-1108 |
Dr. Robert Howell Beaver, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 354 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-323-2000 | |
Shane Casey Tipton, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1090 Ne Gateway Ct Ne, Ste 204, Concord, NC 28025 Phone: 704-403-7020 | |
James Morgan Loftus, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 354 Copperfield Blvd, Concord, NC 28025 Phone: 704-323-2000 | |
Brad Freidinger, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1090 Northeast Gateway Ct Ne, 204, Concord, NC 28025 Phone: 704-403-7020 Fax: 704-403-7039 | |
Dr. Bradley S Ellison, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 354 Copperfield Blvd Ne, Concord, NC 28025 Phone: 704-323-2000 | |
Andrew Gillett Ferris, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1090 Ne Gateway Ct Ne, Ste 204, Concord, NC 28025 Phone: 704-403-7020 | |
Richard Grant Mostak, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 354 Copperfield Blvd, Concord, NC 28025 Phone: 704-323-2000 |