MEDICARE: DR. MAUREEN PATRICIA ANDREASSI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	9600217	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	P00256325	OTHER	NC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5717476	OTHER	NC	AETNA
2	17457	OTHER	NC	PARTNERS
3	1037R	OTHER	NC	BCBSNC
4	200157944	OTHER	NC	TRICARE
5	9734021003	OTHER	NC	CIGNA
6	C0098	OTHER	NC	MEDCOST
7	04-56039	OTHER	NC	UNITED HEALTHCARE
8	179514	OTHER	NC	WELLPATH
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669413332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAUREEN PATRICIA ANDREASSI M.D.

Provider Business Mailing Address
First Line	:	P.O. BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260
Country	:	US
Telephone Number	:	704-384-7840
Fax Number	:	704-384-7830

Provider Business Practice Location Address
First Line	:	1401 MATTHEWS TOWNSHIP PKWY STE 200
Second Line	:	SUITE 103
City	:	MATTHEWS
State	:	NC
Zip	:	28105-5403
Country	:	US
Telephone Number	:	704-384-6901
Fax Number	:	704-384-6902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	04/24/2024

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Directions to “ DR. MAUREEN PATRICIA ANDREASSI M.D.” Practice Location

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