Loretta Lee Muchow, NP is a medicare enrolled "Nurse Practitioner" physician in Winston-salem, North Carolina. Her current practice location is
Medical Center Blvd., Neurosurgery, Winston-salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(367) 164-0813.
Loretta Lee Muchow is licensed to practice in North Carolina (license number 5016673) 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 1790413193.
Physician's Profile
| Full Name | Loretta Lee Muchow |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | Medical Center Blvd., Winston-salem, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790413193
- Provider Enumeration Date: 08/12/2022
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466824313
- Enrollment ID: I20230202001958
Medical Identifiers
Medical identifiers for Loretta Lee Muchow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790413193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5016673 (North Carolina) | Secondary |
| 207T00000X | Neurological Surgery | 5016673 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5016673 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Loretta Lee Muchow allows following entities to bill medicare on her behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436 |
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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. Loretta Lee Muchow 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 Address | Practice Location Address |
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Loretta Lee Muchow, NP
100 Kimel Forest Dr,
Winston Salem, NC 27103-6074
Ph: (336) 716-0238 | Loretta Lee Muchow, NP
Medical Center Blvd., Neurosurgery,
Winston-salem, NC 27157-0001
Ph: (367) 164-0813 |
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