Dr Tim Davis Wax, MD | |
105 W 4th St Ste 600, Winston Salem, NC 27101-3816 | |
(336) 306-5777 | |
(336) 999-8889 |
Full Name | Dr Tim Davis Wax |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 105 W 4th St Ste 600, 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 |
---|---|---|---|
1881686178 | NPI | - | NPPES |
86073 | Other | NC | BCBS OF NC |
8986073 | Medicaid | NC | |
220016574 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 33929 (North Carolina) | Primary |
Entity Name | Carolina Digestive Health Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124052444 PECOS PAC ID: 1951209790 Enrollment ID: O20031230000650 |
Entity Name | Cabarrus Gastroenterology Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780790592 PECOS PAC ID: 9436059649 Enrollment ID: O20040113000342 |
Entity Name | Cabarrus Pathology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538131800 PECOS PAC ID: 9436121324 Enrollment ID: O20040811000348 |
Entity Name | Pathologists Diagnostic Laboratory Pa |
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Entity Type | Part B Supplier - Independent Clinical Laboratory |
Entity Identifiers | NPI Number: 1003883877 PECOS PAC ID: 6002808565 Enrollment ID: O20070322000497 |
Mailing Address | Practice Location Address |
---|---|
Dr Tim Davis Wax, MD Po Box 30369, Winston Salem, NC 27130-0369 Ph: (336) 999-8888 | Dr Tim Davis Wax, MD 105 W 4th St Ste 600, Winston Salem, NC 27101-3816 Ph: (336) 306-5777 |
Stacey O'neill, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4195 Fax: 336-716-3202 | |
Abbott Julian Garvin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595 | |
Dr. Kimberly Ann Stogner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Department Of Pathology, Winston Salem, NC 27157 Phone: 336-716-2673 | |
Dr. Herbert Miles Schiller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2851 Kensington Rd, Winston Salem, NC 27106 Phone: 336-724-9607 | |
Graham Parks, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595 | |
Gregory Jay Pomper, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6368 | |
Dr. Cyrus Koresh Manavi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595 |