Timothy Ryan Heider, MD | |
106 Alexander Bank Dr Ste 300, Mooresville, NC 28117-9624 | |
(704) 660-4584 | |
(704) 660-4967 |
Full Name | Timothy Ryan Heider |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 25 Years |
Location | 106 Alexander Bank Dr Ste 300, Mooresville, 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 |
---|---|---|---|
1245275072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 20001489 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
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Lake Norman Regional Medical Center | Mooresville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mooresville Ppm Llc | 3577614791 | 37 |
Entity Name | Mooresville Ppm Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700028982 PECOS PAC ID: 3577614791 Enrollment ID: O20090630000206 |
Mailing Address | Practice Location Address |
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Timothy Ryan Heider, MD 106 Alexander Bank Dr Ste 300, Mooresville, NC 28117-9624 Ph: (704) 660-4584 | Timothy Ryan Heider, MD 106 Alexander Bank Dr Ste 300, Mooresville, NC 28117-9624 Ph: (704) 660-4584 |
Francis Michael Campbell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 123 Professional Park Dr, Suite 101, Mooresville, NC 28117 Phone: 704-663-7905 Fax: 704-360-4954 | |
Michelle Marie Bertsch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd Ste 306, Mooresville, NC 28117 Phone: 704-660-2610 Fax: 704-660-2611 | |
Wallace Clements Tarry, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 Medical Park Rd, Ste 206, Mooresville, NC 28117 Phone: 704-799-3939 | |
Dr. Matthew Jeffrey Johnson Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 229 Medical Park Rd Ste 300, Mooresville, NC 28117 Phone: 704-360-9995 Fax: 704-360-2221 | |
Brendan M Marr, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd Ste 303, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-660-4967 | |
Dr. Creighton D Fiscina, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 106 Alexander Bank Dr Ste 300, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-660-4967 |