Mrs Grace Auton Teasdall, PA is a medicare enrolled "Physician Assistant" physician in Winston Salem, North Carolina. Her current practice location is
1 Medical Center Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 716-2011.
Mrs Grace Auton Teasdall is licensed to practice in North Carolina (license number 0010-08201) 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 1346736667.
Physician's Profile
Full Name | Mrs Grace Auton Teasdall |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1 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. |
NPI Data:
- NPI Number: 1346736667
- Provider Enumeration Date: 07/10/2018
- Last Update Date: 03/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830441708
- Enrollment ID: I20181004002149
Medical Identifiers
Medical identifiers for Mrs Grace Auton Teasdall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346736667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 0010-08201 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0010-08201 (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. Mrs Grace Auton Teasdall 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 |
Mrs Grace Auton Teasdall, PA 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2011 | Mrs Grace Auton Teasdall, PA 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2011 |
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