Ryan Dwain Gilliam, MD | |
2311 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | |
(336) 713-8900 | |
(336) 702-9286 |
Full Name | Ryan Dwain Gilliam |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 18 Years |
Location | 2311 Lewisville Clemmons Rd, Clemmons, 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 |
---|---|---|---|
1538201629 | NPI | - | NPPES |
5912191 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RTL (North Carolina) | Secondary |
207Q00000X | Family Medicine | 200901294 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wake Forest University Health Sciences | 4486564952 | 2048 |
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 |
Mailing Address | Practice Location Address |
---|---|
Ryan Dwain Gilliam, MD 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 713-0947 | Ryan Dwain Gilliam, MD 2311 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 Ph: (336) 713-8900 |
Scott L Vogler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2265 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-716-8575 Fax: 336-702-9265 | |
Jancarla Marie Ocampo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2311 Lewisville-clemmons Road, 3rd Floor, Clemmons, NC 27012 Phone: 336-713-8900 Fax: 336-702-9286 | |
Allison Liberty Wood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2311 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-716-2255 | |
Dr. Travis Worth Howell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7130 Village Medical Cir, Clemmons, NC 27012 Phone: 336-893-2420 Fax: 336-893-2431 | |
Dr. David M Villanueva, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2311 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-713-0400 Fax: 336-713-0406 | |
Chris N Christakos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2265 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-716-8575 Fax: 336-702-9265 | |
James G Guerrini, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2311 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-716-2255 |