Mrs Nancy Irene Faller, DO | |
145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | |
(336) 765-6181 | |
(336) 765-8492 |
Full Name | Mrs Nancy Irene Faller |
---|---|
Gender | Female |
Speciality | Pain Management |
Experience | 40 Years |
Location | 145 Kimel Park Dr, Winston Salem, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811952740 | NPI | - | NPPES |
13736 | Other | NC | BLUE CROSS & BLUE SHIELD |
8931096 | Medicaid | NC | |
D8837 | Other | NC | MEDCOST |
05609128 | Other | NC | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | 9401402 (North Carolina) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 9401402 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wake Spine And Pain Specialists Pc | 2860543097 | 24 |
Entity Name | Wake Spine And Pain Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568696748 PECOS PAC ID: 2860543097 Enrollment ID: O20090630000286 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nancy Irene Faller, DO 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 Ph: (336) 765-6181 | Mrs Nancy Irene Faller, DO 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 Ph: (336) 765-6181 |
Craig Michael Combs, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. Susan Elizabeth Atkin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. Adair Quattlebaum Locke, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 | |
Johan Suyderhoud, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-3202 | |
James Joseph O'brien, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Herbert Mynatt Floyd, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Ann E Lawrence, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Winston Salem, NC 27103 Phone: 336-716-7194 |