Piers Pravdo, DO | |
1 Medical Center Blvd, Winston Salem, NC 27157-3083 | |
(336) 713-9200 | |
Not Available |
Full Name | Piers Pravdo |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1 Medical Center Blvd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902260441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 20A15734 (California) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 2022-00405 (North Carolina) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Entity Name | Wake Forest Baptist Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972763357 PECOS PAC ID: 3173681681 Enrollment ID: O20081027000587 |
Mailing Address | Practice Location Address |
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Piers Pravdo, DO 530 N Patterson Ave Unit 561, Winston Salem, NC 27101-4287 Ph: () - | Piers Pravdo, DO 1 Medical Center Blvd, Winston Salem, NC 27157-3083 Ph: (336) 713-9200 |
Janet K. Horton, MD Radiology Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Caroline Chiles, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. James L Sanderford Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1365 Westgate Center Dr, Suite K-1, Winston Salem, NC 27103 Phone: 336-760-4450 Fax: 336-760-6197 | |
Dr. Tatum S Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-3202 | |
Jao Ou, Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
Dr. Constantinos Theodoros Spyris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3010 Trenwest Dr Ste 200, Winston Salem, NC 27103 Phone: 336-970-5300 Fax: 336-970-5298 | |
Dr. Marcella Maria Butler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3155 Maplewood Ave, Winston Salem, NC 27103 Phone: 336-794-4372 Fax: 336-659-2379 |