Paul J Kostuchenko, MD | |
1345 Westgate Center Dr Ste B, Winston Salem, NC 27103-3041 | |
(336) 768-1280 | |
(336) 760-8443 |
Full Name | Paul J Kostuchenko |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 25 Years |
Location | 1345 Westgate Center Dr Ste B, Winston Salem, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972591055 | NPI | - | NPPES |
Q0005F | Medicaid | SC | |
89136R2 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | 200400056 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Westgate Dermatology And Laser Center, P.a. | 8325104714 | 6 |
Entity Name | Westgate Dermatology And Laser Center, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821240995 PECOS PAC ID: 8325104714 Enrollment ID: O20090310000490 |
Mailing Address | Practice Location Address |
---|---|
Paul J Kostuchenko, MD 1351-b Westgate Center Dr, Winston-salem, NC 27103-3041 Ph: (336) 768-1280 | Paul J Kostuchenko, MD 1345 Westgate Center Dr Ste B, Winston Salem, NC 27103-3041 Ph: (336) 768-1280 |
Jessica Alexis Savas, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4618 Country Club Rd, Winston Salem, NC 27104 Phone: 336-716-3926 | |
Amy Jo Mcmichael, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4618 Country Club Rd, Winston Salem, NC 27104 Phone: 336-716-2255 Fax: 336-716-9258 | |
Dr. John G. Albertini, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 Professional Park Dr, Ste 150, Winston Salem, NC 27103 Phone: 336-724-2434 Fax: 336-724-6123 | |
Dr. Sarah L Taylor, MD, MPH Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4618 Country Club Road, Wake Forest Baptist Health Medical Plaza, Winston Salem, NC 27104 Phone: 336-716-2702 Fax: 336-716-7732 | |
Dr. Daniel J Pearce, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 Professional Park Dr, Suite 150, Winston Salem, NC 27103 Phone: 336-724-2434 Fax: 336-716-6761 | |
Rita Otilia Pichardo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4618 Country Club Rd, Winston Salem, NC 27104 Phone: 336-716-2255 Fax: 336-716-9258 | |
Joseph Lucius Jorizzo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4618 Country Club Rd, Winston Salem, NC 27104 Phone: 336-716-2255 Fax: 336-716-9258 |