Dr Frederick Mast Dula Jr, MD - Medicare Diagnostic Radiology in Charlotte, NC

Dr Frederick Mast Dula Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Charlotte, North Carolina. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Mecklenburg Radiology Associates Pa and his current practice location is 3623 Latrobe Dr Ste 216, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 332-1291.

Dr Frederick Mast Dula Jr is licensed to practice in North Carolina (license number 26625) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104821412.

Contact Information

Dr Frederick Mast Dula Jr, MD
3623 Latrobe Dr Ste 216,
Charlotte, NC 28211-2117
(704) 332-1291
Not Available



Physician's Profile

Full NameDr Frederick Mast Dula Jr
GenderMale
SpecialityDiagnostic Radiology
Experience43 Years
Location3623 Latrobe Dr Ste 216, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Frederick Mast Dula Jr attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1981
  NPI Data:
  • NPI Number: 1104821412
  • Provider Enumeration Date: 06/15/2005
  • Last Update Date: 03/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991617318
  • Enrollment ID: I20031230000547

Medical Identifiers

Medical identifiers for Dr Frederick Mast Dula Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104821412NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 26625 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Presbyterian Medical CenterCharlotte, NCHospital
Novant Health Matthews Medical CenterMatthews, NCHospital
Novant Health Huntersville Medical CenterHuntersville, NCHospital
Novant Health Rowan Medical CenterSalisbury, NCHospital
Novant Health Mint Hill Medical CenterCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mecklenburg Radiology Associates Pa680078958777

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Frederick Mast Dula Jr allows following entities to bill medicare on his behalf.
Entity NameMecklenburg Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295790657
PECOS PAC ID: 6800789587
Enrollment ID: O20040205001004

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Entity NameRadiology Alliance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20160913000383

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Frederick Mast Dula Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Frederick Mast Dula Jr, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (952) 595-1301
Dr Frederick Mast Dula Jr, MD
3623 Latrobe Dr Ste 216,
Charlotte, NC 28211-2117

Ph: (704) 332-1291

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Radiology Doctors in Charlotte, NC

Whitney Feltus, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211
Phone: 980-208-1704    Fax: 704-926-1832
Edward Barnwell Black, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1705 East Blvd, Charlotte, NC 28203
Phone: 704-909-5960    Fax: 704-770-0501
Thaddeus Drexel Houston, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1701 East Blvd, Charlotte, NC 28203
Phone: 704-334-7800    Fax: 704-414-7512
Matthew James Locker, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211
Phone: 704-332-1291    Fax: 704-926-1832
Kelli A. Reardon, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Queens Rd, Charlotte, NC 28204
Phone: 434-982-0777    Fax: 434-982-0792
Mr. Andrew Joseph Bojanowski, PA-C
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211
Phone: 704-332-1291    
Dr. John William Black, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211
Phone: 704-332-1291    Fax: 704-332-5206

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