Sergio A Mendoza Lattes, MD | |
40 Duke Medicine Cir, Clinic 1b/1c, Durham, NC 27710-4000 | |
(919) 684-8111 | |
Not Available |
Full Name | Sergio A Mendoza Lattes |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 40 Duke Medicine Cir, Durham, 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 |
---|---|---|---|
1255324372 | NPI | - | NPPES |
41986 | Other | IA | WELLMARK BCBS |
0245662 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | SP135 (Iowa) | Primary |
Entity Name | Mission Health Community Multispecialty Providers Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
Mailing Address | Practice Location Address |
---|---|
Sergio A Mendoza Lattes, MD Po Box 63362, Charlotte, NC 28263-3362 Ph: (800) 782-6945 | Sergio A Mendoza Lattes, MD 40 Duke Medicine Cir, Clinic 1b/1c, Durham, NC 27710-4000 Ph: (919) 684-8111 |
Peter G Passias, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 40 Duke Medicine Circle, Duke Spine Center Clinic 1b/1c, Durham, NC 27710 Phone: 919-618-2735 | |
Husam Hussain Darwish, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111 | |
Mark Gage, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 40 Duke Medicine Cir # 1h, Durham, NC 27710 Phone: 919-668-0291 | |
Amy Lilian Behman, MBCHB, PHD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
Thomas Alva Dimmig, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 120 William Penn Plz, Durham, NC 27704 Phone: 919-220-5255 Fax: 919-313-1276 | |
Benjamin Aaron Alman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 40 Duke Medicine Cir, Durham, NC 27710 Phone: 919-684-8111 | |
Dr. Richard Woodson Rutherford Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 William Penn Plz, Durham, NC 27704 Phone: 919-220-5255 Fax: 919-313-1276 |