| Monogram Health Professional Services Of North Carolina Pc | |
|
615 Saint George Square Ct Ste 300 Winston Salem NC 27103-1368 | |
| (615) 673-4455 | |
| (615) 432-4651 |
| Full Name | Monogram Health Professional Services Of North Carolina Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 615 Saint George Square Ct Ste 300, Winston Salem, North Carolina |
| Authorized Official Name and Position | Shawn L Verner (SECRETARY) |
| Authorized Official Contact | 6159941889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monogram Health Professional Services Of North Carolina Pc 5410 Maryland Way Ste 400 Brentwood TN 37027-8087 Ph: (615) 465-8684 | Monogram Health Professional Services Of North Carolina Pc 615 Saint George Square Ct Ste 300 Winston Salem NC 27103-1368 Ph: (615) 673-4455 |
| NPI Number | 1366162885 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Medicare PECOS PAC ID | 9335517176 |
|---|---|
| Medicare Enrollment ID | O20221129000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366162885 | NPI | - | NPPES |
| Provider Name | Nicole Ann Mcrae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821580713 PECOS PAC ID: 7315295912 Enrollment ID: I20180730001169 |
| Provider Name | Amy L Crittenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164985008 PECOS PAC ID: 2668715749 Enrollment ID: I20190513000172 |
| Provider Name | Noel Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887554 PECOS PAC ID: 7315278611 Enrollment ID: I20191018000028 |
| Provider Name | Terri Kleiner Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366953325 PECOS PAC ID: 3274898168 Enrollment ID: I20200214002163 |
| Provider Name | Samuel Mark Shores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992477020 PECOS PAC ID: 8022401637 Enrollment ID: I20220203000203 |
| Provider Name | Shaminder Gupta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730183401 PECOS PAC ID: 1658322300 Enrollment ID: I20221129000196 |
| Provider Name | Moniba Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659502441 PECOS PAC ID: 7517115074 Enrollment ID: I20230501002676 |
| Provider Name | Anthony Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285219733 PECOS PAC ID: 4880050509 Enrollment ID: I20230522002296 |
| Provider Name | Hannah Troutman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720243009 PECOS PAC ID: 9537301569 Enrollment ID: I20230601002883 |
| Provider Name | Katrina Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205311792 PECOS PAC ID: 2860856002 Enrollment ID: I20230907000109 |
| Provider Name | Lubna Aslam Rashid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760626337 PECOS PAC ID: 9739374851 Enrollment ID: I20230929000616 |
| Provider Name | Susan Bell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336285873 PECOS PAC ID: 7517122013 Enrollment ID: I20231019003188 |
| Provider Name | Zahily Fals |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598078115 PECOS PAC ID: 6103121520 Enrollment ID: I20240205002224 |
| Provider Name | Felicia Uzuyem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811367253 PECOS PAC ID: 5193029080 Enrollment ID: I20240326001872 |
| Provider Name | Cindy Lanza-cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265178537 PECOS PAC ID: 8224402755 Enrollment ID: I20240425001851 |
| Provider Name | Jaclyn Masulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124565171 PECOS PAC ID: 5294149761 Enrollment ID: I20240425004013 |
| Provider Name | Amanda Linneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407456882 PECOS PAC ID: 5597176271 Enrollment ID: I20240806002968 |
| Provider Name | Carrie R Hyde |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114260726 PECOS PAC ID: 1658696307 Enrollment ID: I20240808003966 |
| Provider Name | Adaobi J Ideli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447910807 PECOS PAC ID: 1557715695 Enrollment ID: I20240927002129 |
| Provider Name | Pradeep Dhakarwal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043449069 PECOS PAC ID: 7719124288 Enrollment ID: I20241115000411 |
| Provider Name | On Seng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992358162 PECOS PAC ID: 7416362819 Enrollment ID: I20241118002692 |
Disability Advocacy And Information Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8064 N Point Blvd, Suite 102, Winston Salem, NC 27106 Phone: 336-896-0900 Fax: 336-896-0901 | |
Lyfes New Direction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 S Marshall St # 65, Winston Salem, NC 27101 Phone: 336-721-4261 Fax: 336-721-4265 | |
Evolve Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 897 Peters Creek Pkwy Ste 101, Winston Salem, NC 27103 Phone: 336-725-9135 Fax: 336-725-9139 | |
Pinnacle Family Services Of North Carolina Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 University Pkwy, Ste 101, Winston Salem, NC 27106 Phone: 336-397-1560 | |
Managing Overwhelming Moments, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 Stafford Place Cir Apt 103, Winston Salem, NC 27127 Phone: 919-218-6286 | |
Alexander Youth Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8025 N Point Blvd Ste 260, Winston Salem, NC 27106 Phone: 336-724-1412 Fax: 336-724-1464 | |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Highland Ave, Winston Salem, NC 27101 Phone: 336-657-8523 Fax: 336-723-0645 |