Joan Priddy-southern, NP in Winston Salem, NC

Joan Priddy-southern, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Winston Salem, North Carolina. Her current practice location is 145 Kimel Park Dr, Suite 330, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 765-6181.

Joan Priddy-southern is licensed to practice in North Carolina (license number 83415) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427356153.

Contact Information

	Joan Priddy-southern, NP
	145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984
	(336) 765-6181
	(336) 714-6481

Map and Direction

Provider's Profile

Full Name	Joan Priddy-southern
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	145 Kimel Park Dr, 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: 1427356153
Provider Enumeration Date: 03/04/2011
Last Update Date: 09/09/2020

Medicare PECOS Information:

PECOS PAC ID: 1355525361
Enrollment ID: I20110414000715

Medical Identifiers

Medical identifiers for Joan Priddy-southern such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427356153	NPI	-	NPPES
7004906	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	83415 (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. Joan Priddy-southern allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Pain Institute, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376598268 PECOS PAC ID: 0244218550 Enrollment ID: O20040713000338

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. Joan Priddy-southern 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
Joan Priddy-southern, NP 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 Ph: (336) 765-6181	Joan Priddy-southern, NP 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 Ph: (336) 765-6181

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Joan Priddy-southern, NP - Medicare Nurse Practitioner in Winston Salem, NC