| Beverly N Jones Iii Md Pa | |
|
3111 Maplewood Ave Suite 105 Winston Salem NC 27103-3906 | |
| (336) 659-8817 | |
| (336) 659-7799 |
| Full Name | Beverly N Jones Iii Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3111 Maplewood Ave, Winston Salem, North Carolina |
| Authorized Official Name and Position | Beverly N Jones (PRESIDENT) |
| Authorized Official Contact | 3366598817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly N Jones Iii Md Pa 3111 Maplewood Ave Suite 105 Winston Salem NC 27103-3906 Ph: (336) 659-8817 | Beverly N Jones Iii Md Pa 3111 Maplewood Ave Suite 105 Winston Salem NC 27103-3906 Ph: (336) 659-8817 |
| NPI Number | 1972652469 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 10/05/2007 |
| Medicare PECOS PAC ID | 4385630078 |
|---|---|
| Medicare Enrollment ID | O20040420001293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972652469 | NPI | - | NPPES |
| 017VJ | Other | NC | DR. JONES GROUP BCBS |
| 20247 | Other | NC | DR. JONES PARTNERS |
| 137XC | Other | NC | ELIZABETH TOWNSEND BCBS |
| DB 3319-33 | Other | NC | DR. JONES GROUP RR MEDICA |
| 6005875 | Medicaid | NC | |
| 6103140 | Medicaid | NC | |
| 46779 | Other | NC | DR. JONES BCBS |
| Provider Name | Beverly N Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801851506 PECOS PAC ID: 1052218229 Enrollment ID: I20031216000436 |
| Provider Name | Nancy B Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184719841 PECOS PAC ID: 5991791485 Enrollment ID: I20040421000813 |
| Provider Name | Karen Lea Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578547980 PECOS PAC ID: 4385779909 Enrollment ID: I20100320000119 |
| Provider Name | Benedetto Palombo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255691150 PECOS PAC ID: 5294981171 Enrollment ID: I20120808000588 |
| Provider Name | Dixie Purdy Sanspree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699369694 PECOS PAC ID: 5294140224 Enrollment ID: I20210224001916 |
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