| Shane Cruz Prebis, PA | |
|
190 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6946 | |
| (336) 277-2200 | |
| (336) 277-2210 |
| Full Name | Shane Cruz Prebis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 190 Kimel Park Dr Ste 120, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053156521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 0010-14581 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Cruz Prebis, PA Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 277-2200 | Shane Cruz Prebis, PA 190 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6946 Ph: (336) 277-2200 |
Mr. Kamron York Benfield, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4838 Fax: 336-716-7771 | |
Andrea Whitley Peyton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
Seth Ryan Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 | |
Bonnie Lynn Gaudin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston Salem, NC 27103 Phone: 336-275-3325 Fax: 336-275-5346 | |
Ralph Denton Updyke Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622 | |
Richard W Trombley, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4410 Providence Ln, Winston Salem, NC 27106 Phone: 615-778-4066 | |
Mr. Kyle Timothy Roberts, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7080 Fax: 336-718-9622 |