Thomas D Dubose Jr, MD in Winston Salem, NC - Medicare Internal Medicine

Thomas D Dubose Jr, MD is a medicare enrolled "Internal Medicine" physician in Winston Salem, North Carolina. His current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-2255.

Thomas D Dubose Jr is licensed to practice in North Carolina (license number 200201240) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164405874.

Contact Information

	Thomas D Dubose Jr, MD
	Medical Center Blvd, Winston Salem, NC 27157-0001
	(336) 716-2255
	Not Available

Map and Direction

Physician's Profile

Full Name	Thomas D Dubose Jr
Gender	Male
Speciality	Internal Medicine
Location	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.

NPI Data:

NPI Number: 1164405874
Provider Enumeration Date: 11/28/2005
Last Update Date: 05/15/2008

Medicare PECOS Information:

PECOS PAC ID: 8527193143
Enrollment ID: I20100320000061

Medical Identifiers

Medical identifiers for Thomas D Dubose Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164405874	NPI	-	NPPES
132YH	Other	NC	BCBS
3810002109	Medicaid	WV
4514540	Other	NC	AETNA
Q0124C	Medicaid	SC
C0870	Other	NC	MEDCOST
801321	Other	NC	PARTNERS
5881668	Medicaid	VA
89132YH	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	200201240 (North Carolina)	Primary

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. Thomas D Dubose Jr allows following entities to bill medicare on his 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. Thomas D Dubose Jr 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
Thomas D Dubose Jr, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255	Thomas D Dubose Jr, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255

Reviews and Comments

Internal Medicine Doctors in Winston Salem, NC

Shannon Mitchell St Clair, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Kamal Hanee Henderson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Michael Joseph Mccormack Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Randall Stephan Conrad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305
Brooke Williams, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383
Dr. Analicia Marie Alvarado, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Dr. David Defeo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737

Thomas D Dubose Jr, MD - Medicare Internal Medicine in Winston Salem, NC