Timothy Peters, MD | |
Medical Center Blvd, Winston-salem, NC 27157-0001 | |
(336) 716-2255 | |
Not Available |
Full Name | Timothy Peters |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Infectious Diseases |
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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750478889 | NPI | - | NPPES |
196290 | Other | MEDCOST | |
7093512 | Other | AETNA | |
145YK | Other | BCBS | |
3810008320 | Medicaid | WV | |
Q00114 | Medicaid | SC | |
5906322 | Medicaid | NC | |
810655 | Other | PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | MD31615 (Tennessee) | Secondary |
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 2007-00114 (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 |
Mailing Address | Practice Location Address |
---|---|
Timothy Peters, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Timothy Peters, MD Medical Center Blvd, Winston-salem, NC 27157-0001 Ph: (336) 716-2255 |
Jon Stuart Abramson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 | |
W. Wayne Franklin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Charlois Blvd, Winston-salem, NC 27103 Phone: 336-718-1002 Fax: 336-718-1058 | |
Marguerite T Tennille, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2808 Maplewood Ave, Winston-salem, NC 27103 Phone: 336-765-9000 Fax: 336-765-5702 | |
Elizabeth Cobey Allen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 | |
Jennifer Marie Jackson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 | |
Dr. Sarah Nicole Cilvik, MD,PHD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Boulevard, Department Of Pediatrics, Winston-salem, NC 27157 Phone: 314-413-0567 | |
Lisa Katheryn Washburn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 |