James Edward Peacock Jr, MD | |
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
(336) 716-2255 | |
Not Available |
Full Name | James Edward Peacock Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
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 |
---|---|---|---|
1578548558 | NPI | - | NPPES |
5282136 | Other | AETNA | |
Q23418 | Medicaid | SC | |
1811158439 | Other | VA | VIRGINIA MEDICAID |
440003755 | Other | RR MEDICARE | |
NC1806 | Other | SC | SC MEDICAID |
66361 | Other | BCBS | |
29170 | Other | MEDCOST | |
6000286000 | Medicaid | WV | |
1811158439 | Medicaid | NC | |
6026583 | Medicaid | VA | |
8966361 | Medicaid | NC | |
3699 | Other | PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 23418 (North Carolina) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 23418 (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 |
---|---|
James Edward Peacock Jr, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | James Edward Peacock Jr, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
Shannon Mitchell St Clair, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Dr. Kamal Hanee Henderson, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Dr. Michael Joseph Mccormack Jr., M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Randall Stephan Conrad, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305 | |
Brooke Williams, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383 | |
Dr. Analicia Marie Alvarado, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. David Defeo, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737 |