Northeast Digestive Health Center - Medicare Primary Care in Concord, NC

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Northeast Digestive Health Center is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Concord, North Carolina. The current practice location for Northeast Digestive Health Center is 1070 Vinehaven Drive Ne, Concord, North Carolina. For appointments, you can reach them via phone at (704) 783-1840. The mailing address for Northeast Digestive Health Center is 1070 Vinehaven Drive Ne, Concord, North Carolina and phone number is (704) 783-1840.

Northeast Digestive Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780790592. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (704) 783-1840.

Contact Information

Northeast Digestive Health Center
1070 Vinehaven Drive Ne
Concord
NC 28025
(704) 783-1840
(704) 783-1850

Map and Direction


Primary Care Clinic Profile

Full NameNortheast Digestive Health Center
SpecialityInternal Medicine
Location1070 Vinehaven Drive Ne, Concord, North Carolina
Authorized Official Name and PositionMark D Aldous (MANAGING PARTNER)
Authorized Official Contact7047831846
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northeast Digestive Health Center
1070 Vinehaven Drive Ne
Concord
NC 28025

Ph: (704) 783-1840		Northeast Digestive Health Center
1070 Vinehaven Drive Ne
Concord
NC 28025

Ph: (704) 783-1840

NPI Details:

NPI Number1780790592
Provider Enumeration Date08/22/2006
Last Update Date08/15/2014

Medicare PECOS Information:

Medicare PECOS PAC ID9436059649
Medicare Enrollment IDO20040113000342

Medical Identifiers

Medical identifiers for Northeast Digestive Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780790592NPI-NPPES
CA8581OtherNCMEDICARE RAILROAD
01163OtherNCBLUE CROSS BLUE SHEILD
7901163MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northeast Digestive Health Center acts as a billing entity for following providers:
Provider NamePhyllis Bourn Arthur
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982648283
PECOS PAC ID: 6406755792
Enrollment ID: I20040106000402
Provider NameLucinda Moody Chreitzberg
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588604318
PECOS PAC ID: 1355337569
Enrollment ID: I20040422001445
Provider NameAlan W Chiemprabha
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1356350227
PECOS PAC ID: 1355314642
Enrollment ID: I20040816000489
Provider NameMark J Roberts
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770553869
PECOS PAC ID: 7618938978
Enrollment ID: I20041020001233
Provider NameJason Alex Espada
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1013932284
PECOS PAC ID: 6305895723
Enrollment ID: I20050112000958
Provider NameRobinson Mcdowell Gilmore
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1659313054
PECOS PAC ID: 6608821905
Enrollment ID: I20050321000130
Provider NameMark D Antoszyk
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952387227
PECOS PAC ID: 3577467372
Enrollment ID: I20060412000653
Provider NameNirav P Chiniwalla
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1114955291
PECOS PAC ID: 0446258602
Enrollment ID: I20061122000159
Provider NameJeffrey Brian Pitman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699794909
PECOS PAC ID: 2860490927
Enrollment ID: I20061128000233
Provider NameJulie M Gilmore
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316157027
PECOS PAC ID: 3274626155
Enrollment ID: I20070908000170
Provider NameElizabeth H Prichard
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1760474050
PECOS PAC ID: 5294820445
Enrollment ID: I20071002000875
Provider NameWelo S Olenga
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003028051
PECOS PAC ID: 2163518929
Enrollment ID: I20071010000329
Provider NameSara K Hawes
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1710179536
PECOS PAC ID: 3274623475
Enrollment ID: I20071211000794
Provider NameKimberly F Tribo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558372300
PECOS PAC ID: 1658454798
Enrollment ID: I20080212000507
Provider NameTara M Strickland
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184809451
PECOS PAC ID: 6800971789
Enrollment ID: I20080318000102
Provider NameCarey H Wooley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205072030
PECOS PAC ID: 5395890909
Enrollment ID: I20090903000416
Provider NameDavid F Rhodes
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1194734228
PECOS PAC ID: 6204736416
Enrollment ID: I20100127000130
Provider NameAmanda Cline Morris
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1467784546
PECOS PAC ID: 7618012410
Enrollment ID: I20100304000481
Provider NameRobert T Foust
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1649289521
PECOS PAC ID: 5294635405
Enrollment ID: I20100315000554
Provider NameMark D Aldous
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1396754446
PECOS PAC ID: 0749180958
Enrollment ID: I20100326000917
Provider NameJimmy Lewis Bramlett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114963774
PECOS PAC ID: 7517094220
Enrollment ID: I20100428000355
Provider NameMatthew B Myers
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1912106998
PECOS PAC ID: 0345321071
Enrollment ID: I20100628000858
Provider NameTim D Wax
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1881686178
PECOS PAC ID: 0648303115
Enrollment ID: I20100804000501
Provider NameRobert B Kinney
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1942292248
PECOS PAC ID: 1052383940
Enrollment ID: I20100809000476
Provider NameBetsy Wolfe
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1376596197
PECOS PAC ID: 2264400316
Enrollment ID: I20110817000667
Provider NameWesley Blackwelder
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1649207895
PECOS PAC ID: 8022285758
Enrollment ID: I20120120000864
Provider NameShawna R Gray
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1750650651
PECOS PAC ID: 8325205156
Enrollment ID: I20120207000466
Provider NameErin Killman Wright
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730438938
PECOS PAC ID: 7618128000
Enrollment ID: I20121112000636
Provider NamePeter J Schupp
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114271392
PECOS PAC ID: 2264670686
Enrollment ID: I20130524000240
Provider NameVinay M Patel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1013048016
PECOS PAC ID: 3072661552
Enrollment ID: I20130812000041
Provider NameSusan M Barbee
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073935987
PECOS PAC ID: 8426280918
Enrollment ID: I20140416000676
Provider NameNathan Allen Blake
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1548681828
PECOS PAC ID: 1254563414
Enrollment ID: I20140422002303
Provider NameRyan C Turk
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063759751
PECOS PAC ID: 4880849090
Enrollment ID: I20140523001314
Provider NameDustin M Souther
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144641788
PECOS PAC ID: 5597980524
Enrollment ID: I20140708001645
Provider NameRaegan J Swaringen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013390574
PECOS PAC ID: 9234448291
Enrollment ID: I20151014002384
Provider NameGeanina Anghel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1982899175
PECOS PAC ID: 4486720133
Enrollment ID: I20151023001447
Provider NameEvgenia Alexandrovn Salnikova
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366817314
PECOS PAC ID: 8426354317
Enrollment ID: I20160302000915
Provider NameJoel Wade Lynch
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1245637776
PECOS PAC ID: 8820314818
Enrollment ID: I20161024001075
Provider NameNicole F Zeckser
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417370750
PECOS PAC ID: 4587894761
Enrollment ID: I20170214000607
Provider NameMichael B Russell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730592387
PECOS PAC ID: 0042530040
Enrollment ID: I20170801003548
Provider NameLauren A Bennett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710499843
PECOS PAC ID: 6507128931
Enrollment ID: I20180324000148
Provider NameRyan C Romano
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1225251705
PECOS PAC ID: 7911153630
Enrollment ID: I20180815003280
Provider NamePavan Ashok Patel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1760748156
PECOS PAC ID: 9234483157
Enrollment ID: I20200707000420
Provider NameJalal Shoukri Kablan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689239394
PECOS PAC ID: 4385971803
Enrollment ID: I20210414001402
Provider NameKalpesh G Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508285065
PECOS PAC ID: 8820420599
Enrollment ID: I20220201001446

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.