| Theodore Prins Kistemaker, PA-C | |
|
3333 Brookview Hills Blvd, Ste 207, Winston Salem, NC 27103-5661 | |
| (336) 765-5250 | |
| (336) 659-0953 |
| Full Name | Theodore Prins Kistemaker |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 3333 Brookview Hills Blvd, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770523557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 103628 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest University Health Sciences | 4486564952 | 2048 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Prins Kistemaker, PA-C 1701 Westchester Dr, Ste 850, High Point, NC 27262-7008 Ph: (336) 802-2400 | Theodore Prins Kistemaker, PA-C 3333 Brookview Hills Blvd, Ste 207, Winston Salem, NC 27103-5661 Ph: (336) 765-5250 |
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 |