| Northeast Neurology | |
|
315 Medical Park Dr Suite 202 Concord NC 28025-2973 | |
| (704) 403-1911 | |
| (704) 403-1901 |
| Full Name | Northeast Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 315 Medical Park Dr, Concord, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Neurology 315 Medical Park Dr Suite 202 Concord NC 28025-2973 Ph: (704) 403-1911 | Northeast Neurology 315 Medical Park Dr Suite 202 Concord NC 28025-2973 Ph: (704) 403-1911 |
| NPI Number | 1740236041 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 03/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740236041 | NPI | - | NPPES |
| 566000156023 | Other | NC | TRICARE STANDARD, NON NWK |
| 355573 | Other | NC | MAMSI |
| CC2854 | Other | NC | RAILROAD MEDICARE |
| 01895 | Other | NC | BCBS EFF PRIOR TO 7-1-07 |
| 7901895 | Medicaid | NC | |
| 5906955 | Medicaid | NC | |
| 019GN | Other | NC | BCBS EFF 7-1-07 |
| 8599 | Other | NC | PARTNERS MEDICARE CHOICE |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Milestones Of North Carolina Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Church St Ne, Concord, NC 28025 Phone: 704-788-4444 Fax: 704-788-4449 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Spring St Sw, Concord, NC 28025 Phone: 704-786-1539 Fax: 866-790-1485 | |
Northeast Neurology-copperfield Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Copperfield Blvd Ne, Suite 201, Concord, NC 28025 Phone: 704-403-1911 Fax: 704-403-1901 | |
1st Step Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10912 Mccamie Hill Pl, Concord, NC 28025 Phone: 980-319-4357 | |
Great Rose Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Union St S Ste Ll228, Concord, NC 28025 Phone: 704-791-0611 | |
Empowered To Succed Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Derita Rd, Concord, NC 28027 Phone: 704-788-4511 | |
Victory Family Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 Union St S Ste 200, Concord, NC 28025 Phone: 704-918-9741 Fax: 704-270-6213 |