Mrs Courtney White Waszczeniuk, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Winston Salem, North Carolina. Her current practice location is
3333 Silas Creek Pkwy, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 765-9328.
Mrs Courtney White Waszczeniuk is licensed to practice in North Carolina (license number 5016349) 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 1538899570.
Physician's Profile
Full Name | Mrs Courtney White Waszczeniuk |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 3333 Silas Creek Pkwy, 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: 1538899570
- Provider Enumeration Date: 06/13/2022
- Last Update Date: 06/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739556937
- Enrollment ID: I20221101000466
Medical Identifiers
Medical identifiers for Mrs Courtney White Waszczeniuk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538899570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 5016349 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 5016349 (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. Mrs Courtney White Waszczeniuk allows following entities to bill medicare on her behalf.
Entity Name | Forsyth Emergency Services, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649256983 PECOS PAC ID: 1153358171 Enrollment ID: O20050722000351 |
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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. Mrs Courtney White Waszczeniuk 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 Courtney White Waszczeniuk, FNP-C 208 Brentwood Dr, Advance, NC 27006-9440 Ph: (336) 339-2269 | Mrs Courtney White Waszczeniuk, FNP-C 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (336) 765-9328 |
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