Rita Otilia Pichardo, MD in Winston Salem, NC

Rita Otilia Pichardo, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Winston Salem, North Carolina. She graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Wake Forest University Health Sciences and her current practice location is 4618 Country Club Rd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-2255.

Rita Otilia Pichardo is licensed to practice in North Carolina (license number 200500140) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255316311.

Contact Information

	Rita Otilia Pichardo, MD
	4618 Country Club Rd, Winston Salem, NC 27104-3520
	(336) 716-2255
	(336) 716-9258

Map and Direction

Physician's Profile

Full Name	Rita Otilia Pichardo
Gender	Female
Speciality	Dermatology
Experience	39 Years
Location	4618 Country Club Rd, 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.

Medical Education and Training:

Rita Otilia Pichardo graduated from medical school in 1985

NPI Data:

NPI Number: 1255316311
Provider Enumeration Date: 12/13/2005
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 4789638222
Enrollment ID: I20050308001034

Medical Identifiers

Medical identifiers for Rita Otilia Pichardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255316311	NPI	-	NPPES
3810001902	Medicaid	WV
10157838	Medicaid	VA
1381X	Other		BCBS
5900562	Medicaid	NC
E0803	Other		MEDCOST
7214646	Other		AETNA
P00300131	Other		RR MEDICARE
805575	Other		PARTNERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	200500140 (North Carolina)	Secondary
207NI0002X	Dermatology - Clinical & Laboratory Dermatological Immunology	200500140 (North Carolina)	Secondary
207NP0225X	Dermatology - Pediatric Dermatology	200500140 (North Carolina)	Secondary
207ND0900X	Dermatology - Dermatopathology	200500140 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Carolina Baptist Hospital	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	2048

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. Rita Otilia Pichardo allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Rita Otilia Pichardo 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
Rita Otilia Pichardo, MD 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 716-0238	Rita Otilia Pichardo, MD 4618 Country Club Rd, Winston Salem, NC 27104-3520 Ph: (336) 716-2255

Reviews and Comments

Dermatology Doctors in Winston Salem, NC

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
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

Rita Otilia Pichardo, MD - Medicare Dermatology in Winston Salem, NC