| Trellis Supportive Care | |
|
101 Hospice Ln Bldg 141 Winston Salem NC 27103-5766 | |
| (336) 768-3972 | |
| (336) 659-0461 |
| Full Name | Trellis Supportive Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Hospice Ln, Winston Salem, North Carolina |
| Authorized Official Name and Position | David Shelton (CFO) |
| Authorized Official Contact | 3363311260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trellis Supportive Care 101 Hospice Lane Bldg 141 Hospice And Palliative Care Center Winston Salem NC 27103-5766 Ph: (336) 768-3972 | Trellis Supportive Care 101 Hospice Ln Bldg 141 Winston Salem NC 27103-5766 Ph: (336) 768-3972 |
| NPI Number | 1730367467 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 09/27/2018 |
| Medicare PECOS PAC ID | 4688604408 |
|---|---|
| Medicare Enrollment ID | O20070424000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730367467 | NPI | - | NPPES |
| 15115 | Other | NC | MEDCOST |
| 00735 | Other | NC | BCBS HOMEHEALTH |
| 0023A | Other | NC | BCBS HOSPICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cathy H Shore |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366437394 PECOS PAC ID: 9335125764 Enrollment ID: I20040626000337 |
| Provider Name | Timothy Mark Corbett |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1447457437 PECOS PAC ID: 6204009079 Enrollment ID: I20111024000655 |
| Provider Name | Kelsey Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386083210 PECOS PAC ID: 8729222781 Enrollment ID: I20130913000499 |
| Provider Name | Michael J Lalor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093807208 PECOS PAC ID: 0648364653 Enrollment ID: I20140722000366 |
| Provider Name | Melissa Mclean Bullock |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1376863902 PECOS PAC ID: 6901120948 Enrollment ID: I20150121001859 |
| Provider Name | Jennifer C. Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518479351 PECOS PAC ID: 1254699408 Enrollment ID: I20171218001993 |
| Provider Name | Kimberly Biss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316430382 PECOS PAC ID: 0941546113 Enrollment ID: I20190108003957 |
| Provider Name | Elsie M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407415649 PECOS PAC ID: 2466780762 Enrollment ID: I20190824000021 |
| Provider Name | Karen Elizabeth Janke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699310409 PECOS PAC ID: 5294162301 Enrollment ID: I20200303000776 |
| Provider Name | Lory E Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932451242 PECOS PAC ID: 2264860980 Enrollment ID: I20200311002579 |
| Provider Name | Denise Flederbach Lapre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447865290 PECOS PAC ID: 5698184968 Enrollment ID: I20210518000318 |
| Provider Name | Ellen M Andrews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841321874 PECOS PAC ID: 8628472602 Enrollment ID: I20210812003462 |
| Provider Name | Jennifer J Markland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013661339 PECOS PAC ID: 4082097894 Enrollment ID: I20220811001273 |
| Provider Name | Tricia C Zylstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336894948 PECOS PAC ID: 7012392863 Enrollment ID: I20220915001498 |
| Provider Name | Savanna C Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912685546 PECOS PAC ID: 6901251032 Enrollment ID: I20231010003004 |
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 | |
Atrium Health Wake Forest Baptist Family Medicine - Westbrook Plaza 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 | |
Novant Health Forsyth Family Medicine 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 |