| Neurology, Neurodiagnostic & Pain Clinic | |
|
1414 Ellen St Monroe NC 28112-5173 | |
| (704) 283-8811 | |
| (704) 283-2980 |
| Full Name | Neurology, Neurodiagnostic & Pain Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1414 Ellen St, Monroe, North Carolina |
| Authorized Official Name and Position | Chock Tsering (DOCTOR) |
| Authorized Official Contact | 7042838811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology, Neurodiagnostic & Pain Clinic Po Box 734 Monroe NC 28111-0734 Ph: (704) 283-8811 | Neurology, Neurodiagnostic & Pain Clinic 1414 Ellen St Monroe NC 28112-5173 Ph: (704) 283-8811 |
| NPI Number | 1942214242 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 04/29/2008 |
| Medicare PECOS PAC ID | 0840243796 |
|---|---|
| Medicare Enrollment ID | O20050302001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942214242 | NPI | - | NPPES |
| DD4074 | Other | NC | RAILROAD MEDICARE |
| 89129YA | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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