<unavail> in Winston Salem, NC - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Winston Salem, North Carolina. The current practice location for is 4555 Ogburn Ave, Winston Salem, North Carolina. For appointments, you can reach them via phone at (336) 703-4273. The mailing address for is 200 E 2nd Ave, Gastonia, North Carolina and phone number is (704) 874-1904.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154453496. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (336) 703-4273.

Contact Information


	4555 Ogburn Ave Winston Salem NC 27105-2726
	(336) 703-4273
	(336) 661-4954

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	4555 Ogburn Ave, Winston Salem, North Carolina
Authorized Official Name and Position	Sharmila Anderson (BUSINESS SERVICES ADMINISTRATOR)
Authorized Official Contact	7048741907
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
200 E 2nd Ave Gastonia NC 28052-4358 Ph: (704) 874-1904	4555 Ogburn Ave Winston Salem NC 27105-2726 Ph: (336) 703-4273

NPI Details:

NPI Number	1154453496
Provider Enumeration Date	03/12/2007
Last Update Date	01/15/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	5496733925
Medicare Enrollment ID	O20170310001033

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154453496	NPI	-	NPPES
89011N0	Medicaid	NC
8701701	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QS1000X	Clinic/center - Student Health	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Winston Salem, NC

Mccorkle Laboratory Enterprise Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W 5th St Ste 800, Winston Salem, NC 27101 Phone: 336-800-5227
North Carolina General Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3051 Waughtown St, Winston Salem, NC 27107 Phone: 336-726-5090
Wake Forest University Health Sciences Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Physicians Eldercare Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4692 Brownsboro Rd, Winston Salem, NC 27106 Phone: 337-991-9276 Fax: 337-943-0846
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1665 Westbrook Plaza Dr, Winston Salem, NC 27103 Phone: 336-760-8380 Fax: 336-760-8388
Preventative Wellness Solutions I Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3878 Oxford Station Way, Winston Salem, NC 27103 Phone: 336-517-0072
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Jonestown Rd, Winston Salem, NC 27104 Phone: 336-769-9515 Fax: 336-768-9082

- Medicare Primary Care in Winston Salem, NC