Ms Chantha Prak Scott, FNP-BC in Winston Salem, NC

Ms Chantha Prak Scott, FNP-BC is a medicare enrolled "Nurse Practitioner" in Winston Salem, North Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Forsyth Memorial Hospital Inc and her current practice location is 2025 Frontis Plaza Blvd Ste 100, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 718-6199.

Ms Chantha Prak Scott is licensed to practice in North Carolina (license number 5012328) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952952459.

Contact Information

	Ms Chantha Prak Scott, FNP-BC
	2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103-5663
	(336) 718-6199
	(336) 719-6190

Map and Direction

Provider's Profile

Full Name	Ms Chantha Prak Scott
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2025 Frontis Plaza Blvd Ste 100, Winston Salem, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Chantha Prak Scott graduated from nursing school in 2019

NPI Data:

NPI Number: 1952952459
Provider Enumeration Date: 09/25/2019
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6204168537
Enrollment ID: I20191106000017

Medical Identifiers

Medical identifiers for Ms Chantha Prak Scott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952952459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2019045719 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5012328 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Forsyth Medical Center	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forsyth Memorial Hospital Inc	9537071790	516

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. Ms Chantha Prak Scott allows following entities to bill medicare on her 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

Entity Name	Forsyth Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702

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. Ms Chantha Prak Scott 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
Ms Chantha Prak Scott, FNP-BC Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 718-6199	Ms Chantha Prak Scott, FNP-BC 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103-5663 Ph: (336) 718-6199

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

Ms Chantha Prak Scott, FNP-BC - Medicare Nurse Practitioner in Winston Salem, NC