- Medicare Primary Care in Kernersville, NC

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is a medicare enrolled primary clinic (Family Medicine) in Kernersville, North Carolina. The current practice location for is 420 W Mountain St, Kernersville, North Carolina. For appointments, you can reach them via phone at (336) 993-1618. The mailing address for is 420 W Mountain St, Kernersville, North Carolina and phone number is (336) 993-1618.

is licensed to practice in North Carolina (license number 40743). The clinic also participates in the medicare program and its NPI number is 1972566933. 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) 993-1618.

Contact Information

420 W Mountain St
Kernersville
NC 27284-2534
(336) 993-1618
(336) 993-5512

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location420 W Mountain St, Kernersville, North Carolina
Authorized Official Name and PositionJoanelle V Kelly (OFFICE MANAGER)
Authorized Official Contact3369931618
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

420 W Mountain St
Kernersville
NC 27284-2534

Ph: (336) 993-1618
420 W Mountain St
Kernersville
NC 27284-2534

Ph: (336) 993-1618

NPI Details:

NPI Number1972566933
Provider Enumeration Date04/10/2006
Last Update Date10/24/2013

Medicare PECOS Information:

Medicare PECOS PAC ID7214914548
Medicare Enrollment IDO20040702001133

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972566933NPI-NPPES
080107394OtherNCRR MEDICARE
890293KMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 40743 (North Carolina)Primary
207QG0300XFamily Medicine - Geriatric Medicine 40743 (North Carolina)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameWilliam Kelly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730170374
PECOS PAC ID: 9638156961
Enrollment ID: I20100217000784
Provider NameLisa Vang Yang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033889357
PECOS PAC ID: 7719376532
Enrollment ID: I20211117002168
Provider NameSherry A Barker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164182275
PECOS PAC ID: 7416334792
Enrollment ID: I20220509000523

Reviews and Comments


Family Medicine in Kernersville, NC

Generations Family Practice, Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 420 W Mountain St, Kernersville, NC 27284
Phone: 336-993-1618    Fax: 336-993-5512

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1750 Kernersville Medical Pkwy, Kernersville, NC 27284
Phone: 336-564-4866    Fax: 336-277-6815

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 445 Pineview Dr Ste 200b, Kernersville, NC 27284
Phone: 336-448-2427    Fax: 336-765-2869

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1710 Kernersville Medical Pkwy Ste 220, Kernersville, NC 27284
Phone: 336-564-4360    Fax: 336-564-4947

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1635 Nc Highway 66 S, Suite 145, Kernersville, NC 27284
Phone: 336-992-4800    Fax: 336-996-2229
Physical Medicine Of The Carolinas
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1407 Nc Highway 66 S, Suite G, Kernersville, NC 27284
Phone: 336-992-0110    
Wake Forest University Health Sciences
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2755 Nc Highway 66 S, Kernersville, NC 27284
Phone: 336-834-3653    Fax: 336-886-0098

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.