Dr. Jeffrey Arthur Dvergsten

M.D. | Pediatric Rheumatology | Male

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Complete Profile:

Dr. Jeffrey Arthur Dvergsten basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Rheumatology
Provider Name :	Dr. Jeffrey Arthur Dvergsten
Credential :	M.D.
Gender :	Male

Business Address:

Dr. Jeffrey Arthur Dvergsten address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2100 Erwin Rd Durham, NC, 27705-3941 United States
Phone Number :	919-684-8111

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1871521443
NPI Entity Type :	Individual
First Enrolment Date :	30 Jun, 2006
Last Updated On :	19 Jan, 2022

Medicare Participation:

Dr. Jeffrey Arthur Dvergsten participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3173554136
Medicare Enrollment ID :	I20100830000673
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Minnesota Medical School
Graduation Year :	1993
Accepts Medicare?	Yes. Dr. Jeffrey Arthur Dvergsten accepts medicare insurance.

Group Practice Association:

Dr. Jeffrey Arthur Dvergsten is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jeffrey Arthur Dvergsten is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Private Diagnostic Clinic, Pllc	1355254368	2345	300 Meadowmont Village Cir Suite 311 Chapel Hill, NC - 275177518 Ph: 9199678052	Yes
Private Diagnostic Clinic, Pllc	1355254368	2345	Harris Smith Ob/gyn 3000 Meadowmont Village Circle Suite 311 Chapel Hill, NC - 275177518 Ph: 9199678052	Yes
Private Diagnostic Clinic, Pllc	1355254368	2345	4709 Creekstone Dr Durham, NC - 277030016	Yes
Private Diagnostic Clinic, Pllc	1355254368	2345	2301 Erwin Rd Durham, NC - 277054699 Ph: 9196819660	Yes
Private Diagnostic Clinic, Pllc	1355254368	2345	2351 Erwin Rd Durham, NC - 277054699 Ph: 9196848111	Yes
Private Diagnostic Clinic, Pllc	1355254368	2345	2351 Erwin Rd Duke Eye Center Durham, NC - 277054699 Ph: 9196848111	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeffrey Arthur Dvergsten are as mentioned. Primary taxonomy code for Dr. Jeffrey Arthur Dvergsten, M.D. is 2080P0216X (Pediatrics Pediatric Rheumatology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	45211	MN
2080P0216X	Pediatrics Pediatric Rheumatology	Yes	2010-01376	NC

Legacy Identifiers:

Other legacy medical identifiers of Dr. Jeffrey Arthur Dvergsten such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
0147475	MEDICAID	MT
12-03423	Other	MN	MEDICA CHOICE
12-09026	Other	MN	MEDICA CHOICE
552443100	MEDICAID	MN
631T9DV	Other	MN	BCBS
1864181	Other	MN	ARAZ
34800400	MEDICAID	WI
1033631	Other	MN	PREFERRED ONE
171323	Other	MN	UCARE
HP37914	Other	MN	HEALTHPARTNERS
0597021	MEDICAID	MN

Other Practice Locations:

Practice Address	City, State	Phone Number
101 MANNING DR, CHAPEL HILL, NC, 27514-4220 United States	CHAPEL HILL, NC	984-974-1000

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2100 Erwin Rd Durham, NC, 27705-3941 United States
Phone Number :	919-684-8111

Business Location:

Patients can refer following map for directions to Dr. Jeffrey Arthur Dvergsten practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.