Thaddeus Drexel Houston, MD - Medicare Diagnostic Radiology in Charlotte, NC

Thaddeus Drexel Houston, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Charlotte, North Carolina. He went to Johns Hopkins University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Diagnostic Radiology And Imaging Llc, Greensboro Radiology Pa, Wake Forest Health Network Llc and his current practice location is 1701 East Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 334-7800.

Thaddeus Drexel Houston is licensed to practice in North Carolina (license number 2009-02068) 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 1003844101.

Contact Information

Thaddeus Drexel Houston, MD
1701 East Blvd,
Charlotte, NC 28203-5823
(704) 334-7800
(704) 414-7512



Physician's Profile

Full NameThaddeus Drexel Houston
GenderMale
SpecialityDiagnostic Radiology
Experience29 Years
Location1701 East Blvd, 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:
  • Thaddeus Drexel Houston attended and graduated from Johns Hopkins University School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1003844101
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 12/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1557315041
  • Enrollment ID: I20100602000233

Medical Identifiers

Medical identifiers for Thaddeus Drexel Houston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003844101NPI-NPPES
7745055200MedicaidMD
5914660MedicaidNC
1570NOtherNCBCBS-NC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 2009-02068 (North Carolina)Primary
2085R0202XRadiology - Diagnostic Radiology 33023 (South Carolina)Secondary
2085R0202XRadiology - Diagnostic Radiology 4301095598 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology M-10471 (Idaho)Secondary
2085R0202XRadiology - Diagnostic Radiology MD 202562 (Louisiana)Secondary
2085R0202XRadiology - Diagnostic Radiology 52462 (Minnesota)Secondary
2085R0202XRadiology - Diagnostic Radiology 0101246277 (Virginia)Secondary
2085R0202XRadiology - Diagnostic Radiology 32684 (Arizona)Secondary
2085R0202XRadiology - Diagnostic Radiology ME 99907 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology MD2009-0152 (New Mexico)Secondary
2085R0202XRadiology - Diagnostic Radiology 25MA07790600 (New Jersey)Secondary
2085R0202XRadiology - Diagnostic Radiology 063354 (Georgia)Secondary
2085R0202XRadiology - Diagnostic Radiology 230879-1 (New York)Secondary
2085R0202XRadiology - Diagnostic Radiology 42856 (Kentucky)Secondary
2085R0202XRadiology - Diagnostic Radiology MD438167 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Moses H. Cone Memorial Hospital, TheGreensboro, NCHospital
Alamance Regional Medical CenterBurlington, NCHospital
High Point Regional Health SystemHigh point, NCHospital
Randolph HospitalAsheboro, NCHospital
Unc RockinghamEden, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Diagnostic Radiology And Imaging Llc418351709797
Greensboro Radiology Pa8729074901207
Wake Forest Health Network Llc4183538895270

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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. Thaddeus Drexel Houston allows following entities to bill medicare on his behalf.
Entity NameWake Forest Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477785756
PECOS PAC ID: 4183538895
Enrollment ID: O20031117000868

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Entity NameDiagnostic Radiology & Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265469795
PECOS PAC ID: 4183517097
Enrollment ID: O20040204001013

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Entity NameGreensboro Radiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821035999
PECOS PAC ID: 8729074901
Enrollment ID: O20040422001214

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Entity NameImrad Of Virginia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457816522
PECOS PAC ID: 2860726981
Enrollment ID: O20200928003184

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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. Thaddeus Drexel Houston 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
Thaddeus Drexel Houston, MD
1701 East Blvd,
Charlotte, NC 28203-5823

Ph: (704) 334-7800
Thaddeus Drexel Houston, MD
1701 East Blvd,
Charlotte, NC 28203-5823

Ph: (704) 334-7800

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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
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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