Kenneth Castles Shull, MD | |
1814 Westchester Drive, Suite 101, High Point, NC 27262-7369 | |
(336) 802-2150 | |
(336) 802-2151 |
Full Name | Kenneth Castles Shull |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1814 Westchester Drive, High Point, 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 |
---|---|---|---|
1013948025 | NPI | - | NPPES |
8912533 | Medicaid | NC | |
020053940 | Other | NC | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 23776 (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 |
Entity Name | High Point Regional Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396746228 PECOS PAC ID: 8426968371 Enrollment ID: O20031224000051 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Castles Shull, MD 1701 Westchester Drive, Suite 850, High Point, NC 27262-7254 Ph: (336) 802-2400 | Kenneth Castles Shull, MD 1814 Westchester Drive, Suite 101, High Point, NC 27262-7369 Ph: (336) 802-2150 |
Lawrence Dale Williams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 319 Westwood Ave, Lower Level, High Point, NC 27262 Phone: 336-878-3419 Fax: 336-878-6420 | |
Mohamed-omar Arafeh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 N Elm St, High Point, NC 27262 Phone: 310-407-9229 | |
Dr. Kenneth Charles Gracz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1945 Eastchester Dr Unit A, High Point, NC 27265 Phone: 336-887-1125 | |
Gary Leroy Biesecker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1814 Westchester Drive, Suite 101, High Point, NC 27262 Phone: 336-802-2150 Fax: 336-802-2151 | |
Mark Arredondo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 404 Westwood Ave, Ste. 303, High Point, NC 27262 Phone: 336-905-6060 Fax: 336-905-6061 | |
F Douglas Blazek, MD Surgery Medicare: Medicare Enrolled Practice Location: 1814 Westchester Drive, Suite 101, High Point, NC 27262 Phone: 336-802-2150 Fax: 336-802-2151 |