Dr Salvador Enrique Pena Jr, MD PHD in Winston Salem, NC - Medicare Student in an Organized Health Care Education/Training Program

Dr Salvador Enrique Pena Jr, MD PHD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Winston Salem, North Carolina. His current practice location is Wake Forest Baptist Health Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-6410.

Dr Salvador Enrique Pena Jr is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215498605.

Contact Information

	Dr Salvador Enrique Pena Jr, MD PHD
	Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-0001
	(336) 716-6410
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Salvador Enrique Pena Jr
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	Wake Forest Baptist Health 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.

NPI Data:

NPI Number: 1215498605
Provider Enumeration Date: 03/27/2019
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 0749516672
Enrollment ID: I20230712002459

Medical Identifiers

Medical identifiers for Dr Salvador Enrique Pena Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215498605	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	2023-01042 (North Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Dr Salvador Enrique Pena Jr allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Dr Salvador Enrique Pena Jr 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 Address	Practice Location Address
Dr Salvador Enrique Pena Jr, MD PHD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255	Dr Salvador Enrique Pena Jr, MD PHD Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-6410

Dr Salvador Enrique Pena Jr, MD PHD - Medicare Student in an Organized Health Care Education/Training Program in Winston Salem, NC