Ethel Caroline Shore, PA-C - Medicare Internal Medicine in Wake Forest, NC

Ethel Caroline Shore, PA-C is a medicare enrolled "Internal Medicine" physician in Wake Forest, North Carolina. Her current practice location is 3150 Rogers Rd Ste 101, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 504-4000.

Ethel Caroline Shore is licensed to practice in North Carolina (license number 0010-07550) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114434990.

Contact Information

Ethel Caroline Shore, PA-C
3150 Rogers Rd Ste 101,
Wake Forest, NC 27587
(919) 504-4000
(984) 235-1250

Map and Direction




Physician's Profile

Full NameEthel Caroline Shore
GenderFemale
SpecialityInternal Medicine
Location3150 Rogers Rd Ste 101, Wake Forest, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114434990
  • Provider Enumeration Date: 01/03/2018
  • Last Update Date: 02/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5698035996
  • Enrollment ID: I20180206001734

Medical Identifiers

Medical identifiers for Ethel Caroline Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114434990NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0010-07550 (North Carolina)Primary

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. Ethel Caroline Shore 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 AddressPractice Location Address
Ethel Caroline Shore, PA-C
3150 Rogers Rd Ste 101,
Wake Forest, NC 27587-4196

Ph: (919) 504-4000
Ethel Caroline Shore, PA-C
3150 Rogers Rd Ste 101,
Wake Forest, NC 27587

Ph: (919) 504-4000

Reviews and Comments


Internal Medicine Doctors in Wake Forest, NC

Dr. Kavitha Subramanian, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3150 Rogers Rd Ste 220, Wake Forest, NC 27587
Phone: 919-488-4576    Fax: 919-488-4591
Dr. Daniel Thomas Sicking, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2109 S Main St, Suite 100, Wake Forest, NC 27587
Phone: 919-562-4441    Fax: 919-562-5779
Dr. Lydia Elaine Boyd Campbell, MD, MPH
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1980 South Main Street, Wake Forest, NC 27587
Phone: 919-229-8010    Fax: 919-229-8009
Ghassan Al-sabbagh, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10540 Ligon Mill Rd Ste 109, Wake Forest, NC 27587
Phone: 919-554-6253    Fax: 919-554-3777
Dr. Mohammad Abul Kalam Khan, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1751 S Main St, Wake Forest, NC 27587
Phone: 919-556-7499    Fax: 919-562-0943
Dr. Francisco A Castillos, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11635 Northpark Dr, Suite 250, Wake Forest, NC 27587
Phone: 919-825-4637    Fax: 919-562-0444

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.