James Conrad Eisenach, MD | |
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
(336) 716-2255 | |
Not Available |
Full Name | James Conrad Eisenach |
---|---|
Gender | Male |
Speciality | Anesthesiology |
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 |
---|---|---|---|
1932184801 | NPI | - | NPPES |
Q29912 | Medicaid | SC | |
402 | Other | PARTNERS | |
5728495 | Medicaid | VA | |
63954 | Other | MEDCOST | |
8930273 | Medicaid | NC | |
30259 | Other | BCBS | |
3810001302 | Medicaid | WV | |
4098394 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 29912 (North Carolina) | Secondary |
207L00000X | Anesthesiology | 29912 (North Carolina) | Primary |
Entity Name | Wake Forest University Health Sciences |
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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 |
---|---|
James Conrad Eisenach, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | James Conrad Eisenach, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
Craig Michael Combs, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. Susan Elizabeth Atkin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. Adair Quattlebaum Locke, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 | |
Johan Suyderhoud, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-3202 | |
James Joseph O'brien, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Herbert Mynatt Floyd, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Ann E Lawrence, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Winston Salem, NC 27103 Phone: 336-716-7194 |