Brent Edward Heideman Jr, MD | |
Medical Center Blvd, Winston Salem, NC 27157-0011 | |
(336) 716-0424 | |
Not Available |
Full Name | Brent Edward Heideman Jr |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 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 |
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1790218998 | NPI | - | NPPES |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
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Brent Edward Heideman Jr, MD Medical Center Blvd, Winston Salem, NC 27157-0011 Ph: (336) 716-0424 | Brent Edward Heideman Jr, MD Medical Center Blvd, Winston Salem, NC 27157-0011 Ph: (336) 716-0424 |
Shannon Mitchell St Clair, MD Cardiovascular Disease 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 Cardiovascular Disease 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. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Randall Stephan Conrad, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305 | |
Brooke Williams, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383 | |
Dr. Analicia Marie Alvarado, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. David Defeo, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737 |