Mark Allen Bechtel (NPI# 1962493361, PAC ID# 3476533928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1962493361 |
| PAC ID by PECOS | 3476533928 |
| Professional Enrollment ID | I20060814000541 |
| Full Name | Mark Allen Bechtel |
| Organization Legal Name | CAROMONT MEDICAL GROUP INC |
| Address |
1200 Village Harbor Dr Lake Wylie SC 29710-9092 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577476258 |
| Number of Group Practice Members | 254 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340032 | GASTON MEMORIAL HOSPITAL, INC. |
| 420002 | PIEDMONT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 14035 Grandiflora Dr, Charlotte, NC 28278-8456 | CAROMONT MEDICAL GROUP INC | |
| 600 W Trade St, Dallas, NC 28034-1543 | 9808349170 | CAROMONT MEDICAL GROUP INC |
| 600 W Trade St, Suite A, Dallas, NC 28034-1543 | 7048342450 | CAROMONT MEDICAL GROUP INC |
| 1895 Hoffman Rd, Gastonia, NC 28054-6557 | CAROMONT MEDICAL GROUP INC | |
| 2240 Remount Rd, Gastonia, NC 28054-4725 | CAROMONT MEDICAL GROUP INC | |
| 2525 Court Dr, Gastonia, NC 28054-2140 | 7048342000 | CAROMONT MEDICAL GROUP INC |
| 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 | CAROMONT MEDICAL GROUP INC |
| Organization Legal Name | CAROMONT MEDICAL GROUP INC |
| Physicians | 245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bianca Beyder | Physician Assistant | Caromont Medical Group Inc | 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 |
| Kani M Smith | Nurse Practitioner | Caromont Medical Group Inc | 1220 Spruce St, Belmont, NC 28012-3370 |
| Christy P Bush | Nurse Practitioner | Caromont Medical Group Inc | 660 Summit Crossing Pl, Suite 301, Gastonia, NC 28054-2181 |
| Taylor M Gulley | Clinical Social Worker | Caromont Medical Group Inc | 1867 Remount Rd, Suite H, Gastonia, NC 28054-7401 |
| Billiejo Lee Dagenhart | Nurse Practitioner | Caromont Medical Group Inc | 600 W Trade St, Dallas, NC 28034-1543 |
| Tynisha K Hailes | Nurse Practitioner | Caromont Medical Group Inc | 1895 Hoffman Rd, Suite B, Gastonia, NC 28054-6557 |
| Louise Zhou | Medical Oncology | Caromont Medical Group Inc | 2711 X Ray Dr, Suite 3701, Gastonia, NC 28054-7491 |
| Kelly Bergen | Nurse Practitioner | Caromont Medical Group Inc | 2555 Court Dr, Suite 300, Gastonia, NC 28054-2179 |
| Cecily Robin Smith | Nurse Practitioner | Caromont Medical Group Inc | 815 Cox Rd, Gastonia, NC 28054-3453 |
| Kao A Lor | Nurse Practitioner | Caromont Medical Group Inc | 14035 Grandiflora Dr, Suite B, Charlotte, NC 28278-8456 |
| Street Address |
1200 VILLAGE HARBOR DR |
| City | LAKE WYLIE |
| State | SC |
| Zip | 29710-9092 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bianca Beyder | Physician Assistant | Caromont Medical Group Inc | 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 |
| Dorota Gawlas | Psychiatry | Caromont Medical Group Inc | 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 |
| Cheryl D Gunther | Nurse Practitioner | Caromont Medical Group Inc | 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Al Glaza | Chiropractic | 548 Nautical Dr, Suite 204, Lake Wylie, SC 29710-0018 | |
| Henry F Crotwell | Family Medicine | Piedmont Physician Network LLC | 207 Church St, Clover, SC 29710-1008 |
| Shelaila Neri Villamor | Family Medicine | Piedmont Physician Network LLC | 207 Church St, Clover, SC 29710-1008 |
| Tracy E Kelecava | Nurse Practitioner | Piedmont Physician Network LLC | 207 Church St, Clover, SC 29710-1008 |
| Aida Jacic | Family Medicine | Piedmont Physician Network LLC | 207 Church St, Clover, SC 29710-1008 |
| Scott Walter Brodnax | Chiropractic | 225 Church St, Clover, SC 29710-1008 | |
| David O Holman Jr. | Family Medicine | Piedmont Physician Network LLC | 207 Church St, Clover, SC 29710-1008 |
| Jennifer Williams | Clinical Social Worker | Thrive Family Services LLC | 508 Bethel St, Clover, SC 29710-1154 |
| Christopher D Haring | Chiropractic | 719 Bethel St, Clover, SC 29710-1157 | |
| Shalini L Maharaj | Optometry | 175 Hwy 274, Lake Wylie, SC 29710-6045 | |
| Find all physicians in zip 29710 | |||
| City | LAKE WYLIE |
| Zip Code | 29710 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKE WYLIE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.