Dr Gwendolyn Field Wagoner, MD | |
110 Charlois Blvd, Winston Salem, NC 27103-1522 | |
(336) 768-3361 | |
Not Available |
Full Name | Dr Gwendolyn Field Wagoner |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 22 Years |
Location | 110 Charlois Blvd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396955589 | NPI | - | NPPES |
2007-00840 | Other | NC | NC STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 2007-00840 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Ear, Nose And Throat Associates, P.a. | 4486617032 | 21 |
Entity Name | Piedmont Ear, Nose & Throat Associates, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649216631 PECOS PAC ID: 4486617032 Enrollment ID: O20041105000049 |
Mailing Address | Practice Location Address |
---|---|
Dr Gwendolyn Field Wagoner, MD 110 Charlois Blvd, Winston Salem, NC 27103-1522 Ph: (336) 768-3361 | Dr Gwendolyn Field Wagoner, MD 110 Charlois Blvd, Winston Salem, NC 27103-1522 Ph: (336) 768-3361 |
Ms. Kathleen Whitley Barber, PA-C Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 131 Miller St, Winston Salem, NC 27103 Phone: 336-716-4161 Fax: 336-716-5560 | |
Dr. Eric Marshall Kraus, M.D, M.S, F.A.C.S. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Wake Forest Baptist Medical Center Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4161 Fax: 336-716-9440 | |
Mr. Ronald Bernard Shealy, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 110 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-768-3361 Fax: 336-768-4131 | |
Dr. Lyndsay Leigh Madden, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4161 | |
William Cooper Scurry Jr., M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 110 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-768-3361 Fax: 336-768-4131 | |
Steven Wayne Galyon, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2391 Boone Ave, Winston Salem, NC 27103 Phone: 336-671-1107 | |
Stephen C Wright Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-9440 |