Edward Gus Shaw, MD | |
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
(336) 716-2255 | |
(336) 713-6565 |
Full Name | Edward Gus Shaw |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
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 |
---|---|---|---|
1538141585 | NPI | - | NPPES |
5141217 | Other | AETNA | |
57725 | Other | MEDCOST | |
7208707 | Medicaid | VA | |
75531 | Other | BCBS | |
1802889000 | Medicaid | WV | |
12163 | Other | PARTNERS | |
920006958 | Other | RR MEDICARE | |
8975531 | Medicaid | NC | |
Q00719 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 9500719 (North Carolina) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Edward Gus Shaw, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Edward Gus Shaw, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
Janet K. Horton, MD Radiology Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Caroline Chiles, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. James L Sanderford Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1365 Westgate Center Dr, Suite K-1, Winston Salem, NC 27103 Phone: 336-760-4450 Fax: 336-760-6197 | |
Dr. Tatum S Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-3202 | |
Jao Ou, Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
Dr. Constantinos Theodoros Spyris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3010 Trenwest Dr Ste 200, Winston Salem, NC 27103 Phone: 336-970-5300 Fax: 336-970-5298 | |
Dr. Marcella Maria Butler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3155 Maplewood Ave, Winston Salem, NC 27103 Phone: 336-794-4372 Fax: 336-659-2379 |