Athena Failla, BS, MPH, MD | |
1 Medical Center Blvd, Winston Salem, NC 27157-0001 | |
(336) 716-2011 | |
(336) 716-5168 |
Full Name | Athena Failla |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1 Medical Center Blvd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285262162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME167216 (Florida) | Primary |
Entity Name | Ohi West Medical Group Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982381299 PECOS PAC ID: 0648631192 Enrollment ID: O20230731002130 |
Mailing Address | Practice Location Address |
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Athena Failla, BS, MPH, MD 38135 Market Square Dr, Zephyrhills, FL 33542-7505 Ph: (352) 567-0188 | Athena Failla, BS, MPH, MD 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2011 |
Shannon Mitchell St Clair, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Dr. Kamal Hanee Henderson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Dr. Michael Joseph Mccormack Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Randall Stephan Conrad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305 | |
Brooke Williams, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383 | |
Dr. Analicia Marie Alvarado, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. David Defeo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737 |