Timothy L Dagenhart, MD | |
1904 Jake Alexander Blvd W, Ste 301, Salisbury, NC 28147-1178 | |
(704) 638-1551 | |
(704) 638-1553 |
Full Name | Timothy L Dagenhart |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 1904 Jake Alexander Blvd W, Salisbury, 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 |
---|---|---|---|
1376597823 | NPI | - | NPPES |
8926738 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38036 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Street Family Practice Of China Grove Pc | 0941472021 | 4 |
Entity Name | Main Street Family Practice Of China Grove Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619279247 PECOS PAC ID: 0941472021 Enrollment ID: O20111014000034 |
Mailing Address | Practice Location Address |
---|---|
Timothy L Dagenhart, MD Po Box 751803, Charlotte, NC 28275-1803 Ph: (704) 638-1551 | Timothy L Dagenhart, MD 1904 Jake Alexander Blvd W, Ste 301, Salisbury, NC 28147-1178 Ph: (704) 638-1551 |
Mrs. Desiree B Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Woodson St Ste A, Salisbury, NC 28144 Phone: 704-639-0097 Fax: 704-639-1389 | |
Dr. Gary Wardner Sims, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Daniel Lee Holland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515 | |
Bradford Pearce Grimm, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-633-7220 Fax: 704-647-0515 | |
Benjamin Thomas Ott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Julian Rd, Salisbury, NC 28147 Phone: 704-637-3373 Fax: 705-637-0069 | |
Dr. Chetan N Amin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 W Innes St Ste B, Salisbury, NC 28144 Phone: 704-636-5626 Fax: 704-636-5641 | |
Dr. Cecil Murray Farrington, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 860 Jake Alexander Blvd W, Salisbury, NC 28147 Phone: 704-637-1123 Fax: 704-637-1214 |