Joseph Mathis, | |
170 Kimel Park Dr, Winston Salem, NC 27103-6946 | |
(336) 765-7058 | |
(336) 346-2152 |
Full Name | Joseph Mathis |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 170 Kimel Park Dr, Winston Salem, 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 |
---|---|---|---|
1639882053 | NPI | - | NPPES |
0397730042 | Other | NC | NSC# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 15556 (North Carolina) | Primary |
Provider Name | Orthocarolina, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497704217 PECOS PAC ID: 2062316821 Enrollment ID: O20031122000126 |
Mailing Address | Practice Location Address |
---|---|
Joseph Mathis, 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 Ph: (704) 323-3611 | Joseph Mathis, 170 Kimel Park Dr, Winston Salem, NC 27103-6946 Ph: (336) 765-7058 |
Jonelle Claricia Bedford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110 Phone: 336-750-3174 | |
Catherine Coats, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110 Phone: 336-750-3174 | |
Martha Bowers, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3812 Forrestgate Dr, Winston Salem, NC 27103 Phone: 336-774-3752 Fax: 336-774-3773 | |
Mrs. Mary C Winford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2585 Mid Salem Dr, Winston Salem, NC 27103 Phone: 601-754-4303 | |
Brittany Dixon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110 Phone: 336-750-2000 | |
Mrs. Kelli B Cross, MOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5755 Shattalon Dr, Winston Salem, NC 27105 Phone: 336-744-2779 | |
Brianna Ciara Fleming, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110 Phone: 910-551-2446 |