Wake Forest University Health Sciences - Medicare Primary Care in Winston Salem, NC

Wake Forest University Health Sciences is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Winston Salem, North Carolina. The current practice location for Wake Forest University Health Sciences is Medical Center Blvd, Winston Salem, North Carolina. For appointments, you can reach them via phone at (336) 716-2255. The mailing address for Wake Forest University Health Sciences is Po Box 344, Winston Salem, North Carolina and phone number is (336) 716-2255.

Wake Forest University Health Sciences is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003803032. 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) 716-2255.

Contact Information

Wake Forest University Health Sciences
Medical Center Blvd
Winston Salem
NC 27157-0001
(336) 716-2255
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameWake Forest University Health Sciences
SpecialityClinic/Center
LocationMedical Center Blvd, Winston Salem, North Carolina
Authorized Official Name and PositionDavid William Zaas (PRESIDENT, AH WFB)
Authorized Official Contact3367134944
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wake Forest University Health Sciences
Po Box 344
Winston Salem
NC 27102-0344

Ph: (336) 716-2255
Wake Forest University Health Sciences
Medical Center Blvd
Winston Salem
NC 27157-0001

Ph: (336) 716-2255

NPI Details:

NPI Number1003803032
Provider Enumeration Date10/04/2005
Last Update Date07/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4486564952
Medicare Enrollment IDO20031105000436

Medical Identifiers

Medical identifiers for Wake Forest University Health Sciences such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003803032NPI-NPPES
C08811OtherVAMCARE GROUP - VIRGINIA ME
07001OtherNCBCBS
89013KWMedicaidNC
2433646OtherNCMCARE GROUP NUMBER - PODI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wake Forest University Health Sciences acts as a billing entity for following providers:
Provider NameStephen Mills
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1407851231
PECOS PAC ID: 0749184869
Enrollment ID: I20031120000911
Provider NameJonathan H Woody
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780788125
PECOS PAC ID: 2769386515
Enrollment ID: I20031122000075
Provider NameVance Billy Mcvay
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912980376
PECOS PAC ID: 4688578123
Enrollment ID: I20031125000677
Provider NameJohn A Thomas
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1578548210
PECOS PAC ID: 8426953829
Enrollment ID: I20031126000556
Provider NameJenyung A Chiu
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1770580136
PECOS PAC ID: 0941113195
Enrollment ID: I20031208000773
Provider NameAndrew Taylor
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1639157290
PECOS PAC ID: 4981500634
Enrollment ID: I20031211000906
Provider NameRodolfo Marshall Pascual
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1346223484
PECOS PAC ID: 7012814874
Enrollment ID: I20031218000540
Provider NameChristopher Alan Ohl
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1619952991
PECOS PAC ID: 1153228945
Enrollment ID: I20031218000750
Provider NameShanna G Stoter
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205818564
PECOS PAC ID: 4183522600
Enrollment ID: I20031222000586
Provider NameAshton V Molai
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528091758
PECOS PAC ID: 8123925062
Enrollment ID: I20031222000657
Provider NameTimothy Stewart Means
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316928724
PECOS PAC ID: 3779481841
Enrollment ID: I20031229000112
Provider NameTodd D Pennell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790738995
PECOS PAC ID: 1759282205
Enrollment ID: I20040116000824
Provider NameCarol A Kinneman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215981899
PECOS PAC ID: 3971406182
Enrollment ID: I20040127000738
Provider NameKatherine Marie Hilliard
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1750328837
PECOS PAC ID: 6901709138
Enrollment ID: I20040127000863
Provider NameJill Ann Ohar
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1376526400
PECOS PAC ID: 4880597939
Enrollment ID: I20040128000356
Provider NameJon R Knapp
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871558072
PECOS PAC ID: 7113820663
Enrollment ID: I20040130000885
Provider NameBruce Monks
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346237880
PECOS PAC ID: 1456244144
Enrollment ID: I20040205001063
Provider NameSarah G Bodin
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1023093150
PECOS PAC ID: 8022903194
Enrollment ID: I20040218000048
Provider NameSteven Shi-tsen Mou
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215912175
PECOS PAC ID: 5193610988
Enrollment ID: I20040219000855
Provider NameSusanne Bickley Anderson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316014400
PECOS PAC ID: 6901792027
Enrollment ID: I20040225000951
Provider NameSuzanne Marie Edmunds
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1689659716
PECOS PAC ID: 4880581982
Enrollment ID: I20040303000380
Provider NameShashi K Nagaraj
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1861476848
PECOS PAC ID: 8527957562
Enrollment ID: I20040315001135
Provider NameMarilyn M Gamewell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881684447
PECOS PAC ID: 9830089820
Enrollment ID: I20040315001573
Provider NameDarla C Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699735209
PECOS PAC ID: 7911897988
Enrollment ID: I20040316000454
Provider NameThomas A Bull
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386623312
PECOS PAC ID: 8123918356
Enrollment ID: I20040319000272
Provider NameKathy G Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215082078
PECOS PAC ID: 4082505938
Enrollment ID: I20040322001080
Provider NameRosemary E Bisti
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1811995376
PECOS PAC ID: 9638161516
Enrollment ID: I20040331001270
Provider NameLoretta Kelly Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861450983
PECOS PAC ID: 2365437829
Enrollment ID: I20040415000865
Provider NameOmar P Sangueza
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1770569436
PECOS PAC ID: 5799770111
Enrollment ID: I20040415001346
Provider NameTimothy N Harwood
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1780795138
PECOS PAC ID: 9739078551
Enrollment ID: I20040501000368
Provider NameLarry A Hollar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417038738
PECOS PAC ID: 4981697323
Enrollment ID: I20040504001603
Provider NameDebra Anita Neblett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679634455
PECOS PAC ID: 3476541541
Enrollment ID: I20040505001557
Provider NameRobert A Robbins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780600023
PECOS PAC ID: 5395734107
Enrollment ID: I20040507000672
Provider NameWilliam A Pincus
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1306806583
PECOS PAC ID: 3072502814
Enrollment ID: I20040507000933
Provider NameDavid W Kaminski
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831295583
PECOS PAC ID: 7113916701
Enrollment ID: I20040510000210
Provider NameLinda Morris Taylor
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144324583
PECOS PAC ID: 7517956113
Enrollment ID: I20040510000359
Provider NameKevin Paul High
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1144205428
PECOS PAC ID: 6901895168
Enrollment ID: I20040511001596
Provider NameKenneth L Parish
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1215990502
PECOS PAC ID: 9133119753
Enrollment ID: I20040515000293
Provider NameCheryl A Moore
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1760414924
PECOS PAC ID: 0345231429
Enrollment ID: I20040518001542
Provider NamePatricia Lee Beckham
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1083783799
PECOS PAC ID: 1456341593
Enrollment ID: I20040519001355
Provider NamePatricia F Triplett
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1770503401
PECOS PAC ID: 6103817457
Enrollment ID: I20040524001125
Provider NamePatrick E Lantz
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1982688941
PECOS PAC ID: 2668453275
Enrollment ID: I20040528000753
Provider NameStephen E Greer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1427004209
PECOS PAC ID: 5496736845
Enrollment ID: I20040601000368
Provider NameThomas M Sweasey
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1396798732
PECOS PAC ID: 1052393402
Enrollment ID: I20040601001210
Provider NameAnthony J Atala
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1235111832
PECOS PAC ID: 3375525819
Enrollment ID: I20040607001031
Provider NameKaren Rinderle Gerancher
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1841273976
PECOS PAC ID: 1052394491
Enrollment ID: I20040608000974
Provider NameMatthew Gordon Hough
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1700860772
PECOS PAC ID: 9234112483
Enrollment ID: I20040609001308
Provider NameThomas W Mclean
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1124002209
PECOS PAC ID: 8022091792
Enrollment ID: I20040611001390
Provider NameGilda Cardenosa
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1164526497
PECOS PAC ID: 0648254276
Enrollment ID: I20040614000361
Provider NameJane Elizabeth Duffey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487681276
PECOS PAC ID: 4587648811
Enrollment ID: I20040615000998
Provider NameMichael G Hitchcock
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1477527711
PECOS PAC ID: 8527042795
Enrollment ID: I20040615001409
Provider NameAnn B Oaks
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1659347078
PECOS PAC ID: 3971587155
Enrollment ID: I20040615001479
Provider NameZhong Yu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1952305831
PECOS PAC ID: 5193709301
Enrollment ID: I20040615001705
Provider NameMark William Russo
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1588745392
PECOS PAC ID: 0042294068
Enrollment ID: I20040616001509
Provider NameMichael M Gaspari
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1548288921
PECOS PAC ID: 3375527393
Enrollment ID: I20040616001533
Provider NameWilliam F Spillane
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1902852734
PECOS PAC ID: 7810971629
Enrollment ID: I20040617000676
Provider NameJason Bradford Mccurry
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861436123
PECOS PAC ID: 3678558285
Enrollment ID: I20040618001268
Provider NameMarie Moore Dinges
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346215456
PECOS PAC ID: 4880679943
Enrollment ID: I20040622001301
Provider NameSimon A Mahler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124051487
PECOS PAC ID: 8325023237
Enrollment ID: I20040623000757
Provider NameMichael Thomas Fitch
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215911615
PECOS PAC ID: 3870579360
Enrollment ID: I20040625000533
Provider NameVera Parkhurst Luther
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1538282645
PECOS PAC ID: 3678559101
Enrollment ID: I20040625000789
Provider NameKurt Robert Daniel
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1083760417
PECOS PAC ID: 2264418508
Enrollment ID: I20040626000469
Provider NameLaurence B Givner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1336124981
PECOS PAC ID: 1658357975
Enrollment ID: I20040628000631
Provider NameBrittany Bergin Clyne
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1396733820
PECOS PAC ID: 2466438585
Enrollment ID: I20040628001502
Provider NamePatience Ekuatinne Reich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447246566
PECOS PAC ID: 9638155765
Enrollment ID: I20040628001516
Provider NameMadhulika Chandra
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1912987082
PECOS PAC ID: 6901882919
Enrollment ID: I20040629000520
Provider NameEmma Hellinger Aycoth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295713485
PECOS PAC ID: 2466439245
Enrollment ID: I20040630000383
Provider NameJames J Hoth
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1720063894
PECOS PAC ID: 2264419845
Enrollment ID: I20040701000700
Provider NamePreston R Miller
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1306822903
PECOS PAC ID: 7012994692
Enrollment ID: I20040701000748
Provider NameMelanie A Belfi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558401455
PECOS PAC ID: 7618865056
Enrollment ID: I20040702000318
Provider NameRobert Joseph Stratta
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1346226966
PECOS PAC ID: 2466430426
Enrollment ID: I20040708000108
Provider NameDavid Reese Obrien
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1063479327
PECOS PAC ID: 5193703064
Enrollment ID: I20040708001032
Provider NameRobert D Nelson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457307886
PECOS PAC ID: 6901884691
Enrollment ID: I20040709000493
Provider NameEric Chen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669401352
PECOS PAC ID: 4486632924
Enrollment ID: I20040710000284
Provider NameJoan J Robie
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1669455069
PECOS PAC ID: 3779561196
Enrollment ID: I20040713000449
Provider NameScott Lewis Korn
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346286697
PECOS PAC ID: 7315932944
Enrollment ID: I20040713001207
Provider NameSuneetha R Kalathoor
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1306818356
PECOS PAC ID: 5092794016
Enrollment ID: I20040714001107
Provider NameSigmund I Tannenbaum
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1225024540
PECOS PAC ID: 3476532425
Enrollment ID: I20040714001310
Provider NameDavid John Bohle
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1710966718
PECOS PAC ID: 0840279485
Enrollment ID: I20040716000449
Provider NameWayne Meredith
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1568447639
PECOS PAC ID: 2668451048
Enrollment ID: I20040719000740
Provider NameThomas Freeman Slaughter
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1912982042
PECOS PAC ID: 7416936737
Enrollment ID: I20040719001103
Provider NameThomas Pranikoff
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1144206749
PECOS PAC ID: 8921087107
Enrollment ID: I20040720000743
Provider NameJane K Ybanez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548209562
PECOS PAC ID: 2668452772
Enrollment ID: I20040721000173
Provider NameEric D Lance
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1043292345
PECOS PAC ID: 5799765541
Enrollment ID: I20040722000269
Provider NameKatherine A Averill
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1033158399
PECOS PAC ID: 1951381722
Enrollment ID: I20040722000453
Provider NameJulie C Haviland
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568557122
PECOS PAC ID: 6507762143
Enrollment ID: I20040723000230
Provider NameJohn Mark Burkart
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1669457891
PECOS PAC ID: 4880665124
Enrollment ID: I20040802001149
Provider NameKesi T Kindle-suersin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528035268
PECOS PAC ID: 9931170164
Enrollment ID: I20040803000183
Provider NameNancy Lee Curll
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1396721999
PECOS PAC ID: 9335110964
Enrollment ID: I20040805000481
Provider NameHeath C Thornton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942284450
PECOS PAC ID: 3678544152
Enrollment ID: I20040805001581
Provider NamePaul F Malinda
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134172851
PECOS PAC ID: 0547232548
Enrollment ID: I20040810001147
Provider NameJohn C Canon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699778639
PECOS PAC ID: 5294707915
Enrollment ID: I20040811001355
Provider NameLonginus Olewuike Agor
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1265494686
PECOS PAC ID: 9638141211
Enrollment ID: I20040812001071
Provider NameDaniel Howard Golwyn
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134151814
PECOS PAC ID: 0446223044
Enrollment ID: I20040812001235
Provider NameJohn C Faris
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215993423
PECOS PAC ID: 6406829936
Enrollment ID: I20040813000723
Provider NameKirsten Brantley Feiereisel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669468724
PECOS PAC ID: 7113990185
Enrollment ID: I20040817001230
Provider NameHeather S Waddell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366427858
PECOS PAC ID: 5395719900
Enrollment ID: I20040820000291
Provider NameBret A Nicks
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831173244
PECOS PAC ID: 4385618917
Enrollment ID: I20040820000404
Provider NameAnnie Delores Blackwell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1598811663
PECOS PAC ID: 6103890736
Enrollment ID: I20040820000406
Provider NameSheila Haire Crumb
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1548206030
PECOS PAC ID: 9436123064
Enrollment ID: I20040820000426
Provider NameSandra W Pena
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1336198787
PECOS PAC ID: 3072587500
Enrollment ID: I20040821000051
Provider NameLinda Marie Sangiuliano
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1659352961
PECOS PAC ID: 3375517717
Enrollment ID: I20040823000608
Provider NameMitra N Higgins
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1528000148
PECOS PAC ID: 3870567027
Enrollment ID: I20040823001484
Provider NamePeter Christian Brath
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1235159625
PECOS PAC ID: 2163494774
Enrollment ID: I20040823001499
Provider NameHenderson D Mcginnis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174508030
PECOS PAC ID: 6406820554
Enrollment ID: I20040824000668
Provider NameSusan Anitra Melin
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1528042058
PECOS PAC ID: 5698749711
Enrollment ID: I20040824001126
Provider NameJeffrey Cabot Clevenger
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1801876909
PECOS PAC ID: 6507830544
Enrollment ID: I20040824001383
Provider NameMary A Knovich
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1750365128
PECOS PAC ID: 2062486871
Enrollment ID: I20040825001308
Provider NameHeidi Debot Aldridge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104869288
PECOS PAC ID: 7416922000
Enrollment ID: I20040827000446
Provider NameTonya V Oliver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396736542
PECOS PAC ID: 4486629094
Enrollment ID: I20040827000564
Provider NameTomika M Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518938323
PECOS PAC ID: 3375518988
Enrollment ID: I20040827000578
Provider NameRobyn Kim Zanard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407834567
PECOS PAC ID: 8729060058
Enrollment ID: I20040827000759
Provider NameGretchen Y Velazquez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528094844
PECOS PAC ID: 1456326867
Enrollment ID: I20040830000592
Provider NameAvinash K Shetty
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669456745
PECOS PAC ID: 4385619626
Enrollment ID: I20040830000869
Provider NameRobert Luther Rominger
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1386637247
PECOS PAC ID: 8820063183
Enrollment ID: I20040831000025
Provider NameSteve James Hodges
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1144202755
PECOS PAC ID: 4981679131
Enrollment ID: I20040831000812
Provider NameDeanna L Schmehl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912075417
PECOS PAC ID: 5799751145
Enrollment ID: I20040907001087
Provider NameAlisa L Starbuck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962483297
PECOS PAC ID: 1951377308
Enrollment ID: I20040907001101
Provider NameBayard Lowery Powell
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1831173954
PECOS PAC ID: 8325014392
Enrollment ID: I20040909001354
Provider NameSara M Furr
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548288947
PECOS PAC ID: 5092782870
Enrollment ID: I20040911000283
Provider NameRobert S Humble
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1881663730
PECOS PAC ID: 6305813924
Enrollment ID: I20040914000258
Provider NameJon A Giometti
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568405041
PECOS PAC ID: 3274500871
Enrollment ID: I20040915000844
Provider NameWilliam G Fisher
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1952380263
PECOS PAC ID: 8628046752
Enrollment ID: I20040917000101
Provider NameJohn H Stewart
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1851374383
PECOS PAC ID: 7719955699
Enrollment ID: I20040918000167
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Enrollment ID: I20071121000441
Provider NameJames N Kimball
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Provider NameLadonna Smith Martin
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Provider NameTodd Robert Gorman
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Enrollment ID: I20071205000322
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Provider TypePractitioner - Nurse Practitioner
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Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Enrollment ID: I20071207000513
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Enrollment ID: I20071217000665
Provider NameReza Rezai
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Enrollment ID: I20071221000413
Provider NameCarroll Chambers
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Enrollment ID: I20071224000031
Provider NameShira Friend Kazakewich
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
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Provider NameJames E Winslow
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Provider NameChristina Rizk
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Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1972948636
PECOS PAC ID: 0749420156
Enrollment ID: I20230927003803
Provider NameKristie Yvonne Burks
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1760047260
PECOS PAC ID: 5395199913
Enrollment ID: I20230929001436
Provider NameElizabeth A Dick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255375192
PECOS PAC ID: 2769413459
Enrollment ID: I20231002001793
Provider NameCaitlin Jan Follansbee
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1144838137
PECOS PAC ID: 1355766148
Enrollment ID: I20231002003690
Provider NameEva Maria Reina
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1992234116
PECOS PAC ID: 2769800481
Enrollment ID: I20231003002089
Provider NameNatalie Kay Wallis Harper
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1730447814
PECOS PAC ID: 4688986854
Enrollment ID: I20231004001732
Provider NameElizabeth Marie Presutto
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1407316953
PECOS PAC ID: 0446686489
Enrollment ID: I20231004002973
Provider NameAnna Mei-ching Kuan-celarier
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1497118418
PECOS PAC ID: 2769837194
Enrollment ID: I20231004003977
Provider NameJayme Brooke Greene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457030884
PECOS PAC ID: 7517312952
Enrollment ID: I20231005000045
Provider NameAruj Chawla
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649709676
PECOS PAC ID: 6305291758
Enrollment ID: I20231005000241
Provider NameJacob Tucker Sherrill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700587052
PECOS PAC ID: 9537514849
Enrollment ID: I20231005003547
Provider NameRamya Singireddy Mentreddy
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1528529781
PECOS PAC ID: 2062823339
Enrollment ID: I20231006000474
Provider NameBrent Edward Heideman
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1790218998
PECOS PAC ID: 6608147822
Enrollment ID: I20231006000969
Provider NameCaitlin Grace Mahoney
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1871112615
PECOS PAC ID: 8921453192
Enrollment ID: I20231006003144
Provider NameAlan William Warner Reynolds
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1922531714
PECOS PAC ID: 9436417938
Enrollment ID: I20231009003085
Provider NameHillary Jordan Ohlsson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578192431
PECOS PAC ID: 2567892466
Enrollment ID: I20231010002133
Provider NameYvonne Chueh
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1649807413
PECOS PAC ID: 1951729813
Enrollment ID: I20231013000137
Provider NameNatalie Joy Zimmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528580917
PECOS PAC ID: 8628343357
Enrollment ID: I20231016001428
Provider NameZachary Alan Bahr
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790306322
PECOS PAC ID: 7517389638
Enrollment ID: I20231017000595
Provider NameAshlee Elizabeth Stutsrim
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1508097940
PECOS PAC ID: 8022292317
Enrollment ID: I20231017004070
Provider NameCarma Helen Goldstein
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023542149
PECOS PAC ID: 7911369053
Enrollment ID: I20231018000202
Provider NameRebecca Grace Dugal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013526037
PECOS PAC ID: 8820413941
Enrollment ID: I20231018004184
Provider NameEvbusogie Nekpen Ogbeide
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1659714400
PECOS PAC ID: 2961703665
Enrollment ID: I20231019000006
Provider NameMichael Robinson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770017964
PECOS PAC ID: 4082959903
Enrollment ID: I20231019002643
Provider NameMolly Kellam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124702832
PECOS PAC ID: 5597111054
Enrollment ID: I20231019003456
Provider NameXiuwei Cai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831887181
PECOS PAC ID: 8729434170
Enrollment ID: I20231023000075
Provider NameColin Edward Kleinguetl
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1700233582
PECOS PAC ID: 1951682160
Enrollment ID: I20231024000502
Provider NameGirish Raghunathan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801022660
PECOS PAC ID: 6709939796
Enrollment ID: I20231024000665
Provider NameThomas Charles Weber
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700462389
PECOS PAC ID: 8921400094
Enrollment ID: I20231024001658
Provider NameAbbey Pfister Donahue
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679136659
PECOS PAC ID: 2365775145
Enrollment ID: I20231026003675
Provider NameChristine Baughman Harbour
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972381440
PECOS PAC ID: 9830545789
Enrollment ID: I20231027003508
Provider NameTurgut Bora Cengiz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1952968059
PECOS PAC ID: 5890020051
Enrollment ID: I20231030003769
Provider NameLaika Rose Simeon-thompson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1598253783
PECOS PAC ID: 3971857574
Enrollment ID: I20231031001896
Provider NameSarah Nullmeyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700413770
PECOS PAC ID: 9830520725
Enrollment ID: I20231031003945
Provider NameMelanie Pancoast
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043849144
PECOS PAC ID: 2961857479
Enrollment ID: I20231102000188
Provider NameJennifer Lauren Ford
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134481062
PECOS PAC ID: 2961859558
Enrollment ID: I20231102003321
Provider NameLuisa Maria Paredes Acosta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700345725
PECOS PAC ID: 2567846306
Enrollment ID: I20231103000277
Provider NameAaditya Chandrasekar
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457931347
PECOS PAC ID: 6507265329
Enrollment ID: I20231103001324
Provider NameParker Patterson Suit
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225525082
PECOS PAC ID: 9436556933
Enrollment ID: I20231109002618
Provider NameJoseph Daniel Dragonetti
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1962813394
PECOS PAC ID: 1658728894
Enrollment ID: I20231109003384
Provider NameMiles Edward Dewayne Hairston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932980802
PECOS PAC ID: 3577910587
Enrollment ID: I20231114000378
Provider NameJulia Schoen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750886420
PECOS PAC ID: 6507116829
Enrollment ID: I20231117001189
Provider NameErin Harrison Jarrett
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902219843
PECOS PAC ID: 3779930458
Enrollment ID: I20231117001276
Provider NameKaitlan Mountain Clower-money
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1215374632
PECOS PAC ID: 2264880673
Enrollment ID: I20231127000104
Provider NameJennifer L Harmon
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1083078224
PECOS PAC ID: 1456709807
Enrollment ID: I20231127001590
Provider NameAllan Chen Dong
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1780145813
PECOS PAC ID: 7214385582
Enrollment ID: I20231127002551
Provider NameKatharine Elizabeth Duckworth
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1821300666
PECOS PAC ID: 8527416825
Enrollment ID: I20231128000315
Provider NameZachary Mckinney
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1992265706
PECOS PAC ID: 6800137696
Enrollment ID: I20231128000599
Provider NameMital Kamlesh Patel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1285167981
PECOS PAC ID: 1658729967
Enrollment ID: I20231128000604
Provider NameScott Daniel Crofts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700663002
PECOS PAC ID: 7012365067
Enrollment ID: I20231130003132
Provider NameTaylor Griffith Tarvin
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669194023
PECOS PAC ID: 6901254838
Enrollment ID: I20231201002803
Provider NameTaylor Marie Redding
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861271082
PECOS PAC ID: 2365890241
Enrollment ID: I20231204001010
Provider NameMaria Cristina Noyola
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1811253099
PECOS PAC ID: 2769831460
Enrollment ID: I20231206002927
Provider NameRobin Rainey Kiehl
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497378996
PECOS PAC ID: 4789085283
Enrollment ID: I20231207002255
Provider NameRichard Ralph Walo
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1184249559
PECOS PAC ID: 0143644229
Enrollment ID: I20231207003962
Provider NameShannon Rebekah James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144903709
PECOS PAC ID: 9638528193
Enrollment ID: I20231208001491
Provider NameDhishna Chaudhary Manam
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1457885055
PECOS PAC ID: 6002185329
Enrollment ID: I20231208002419
Provider NameDavid Charles Moore
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1467912584
PECOS PAC ID: 8224368816
Enrollment ID: I20231212004075
Provider NameLaura Elizabeth Moore
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1881154318
PECOS PAC ID: 0547590176
Enrollment ID: I20231213002056
Provider NameJames Edward Han
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1225424476
PECOS PAC ID: 5991069403
Enrollment ID: I20231214002207
Provider NameNakedra Lasha'e Byrd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780366906
PECOS PAC ID: 4880043967
Enrollment ID: I20231214002324
Provider NameAmy Diane Lowther
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1033737853
PECOS PAC ID: 1456700418
Enrollment ID: I20231215001596
Provider NameLee Dresser
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1225068307
PECOS PAC ID: 1052491032
Enrollment ID: I20231218003137
Provider NameAmanda Bock Blair
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215155197
PECOS PAC ID: 1254528771
Enrollment ID: I20231220003909
Provider NameCharles Frederick Moseley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265139687
PECOS PAC ID: 8628428075
Enrollment ID: I20231227000988
Provider NameKelly Limmer Bowman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1801677877
PECOS PAC ID: 0244680577
Enrollment ID: I20231228000871
Provider NameMarcia Huston Mccall
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1215563069
PECOS PAC ID: 9436509759
Enrollment ID: I20231229000073
Provider NameGregory N Hall
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1689952145
PECOS PAC ID: 6305296534
Enrollment ID: I20231229000945
Provider NameKatherine Gatewood Hyland
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1275090383
PECOS PAC ID: 3971837170
Enrollment ID: I20231229001063
Provider NameMakayla Tysinger Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346014685
PECOS PAC ID: 3779933973
Enrollment ID: I20240101000223
Provider NameSarpitha Rajamreddy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588246300
PECOS PAC ID: 1254731458
Enrollment ID: I20240102002804
Provider NameSheila Ann Conway
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1245423441
PECOS PAC ID: 7214009901
Enrollment ID: I20240102003530
Provider NameLindsay Kate Seigenthaler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801462767
PECOS PAC ID: 9133570096
Enrollment ID: I20240104004757
Provider NameFrantz Joseph Dor
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1235721093
PECOS PAC ID: 2567844624
Enrollment ID: I20240108003257
Provider NameEvie Cristina Davyromano
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1841754744
PECOS PAC ID: 2466803077
Enrollment ID: I20240108006265
Provider NameCharity Celeste Glass
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1568726321
PECOS PAC ID: 8527316645
Enrollment ID: I20240110003621
Provider NameJackson Kisuke Kojima
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598419848
PECOS PAC ID: 2860888310
Enrollment ID: I20240112001386
Provider NameKristina Margaret Bianco
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548766470
PECOS PAC ID: 4082944913
Enrollment ID: I20240117000215
Provider NameAuryelle Ascue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558971390
PECOS PAC ID: 6507286564
Enrollment ID: I20240124001571
Provider NameTaewoo Lee
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1033649819
PECOS PAC ID: 7719252568
Enrollment ID: I20240124002059
Provider NameCynthia Rena Jones
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598106171
PECOS PAC ID: 8426401696
Enrollment ID: I20240124003393
Provider NameJennifer Michelle Menke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316667595
PECOS PAC ID: 5991180010
Enrollment ID: I20240129002916
Provider NameJonathan Daniel Woodbury
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1043645039
PECOS PAC ID: 5395198923
Enrollment ID: I20240130002267
Provider NameCarol Logan Vincent
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134489602
PECOS PAC ID: 5597981084
Enrollment ID: I20240201004221
Provider NameJigishkumar Bipinchandra Vyas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1730813924
PECOS PAC ID: 6800239898
Enrollment ID: I20240206004977
Provider NameJeanne Carette Reynolds
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1003515891
PECOS PAC ID: 6002259967
Enrollment ID: I20240207002524
Provider NameDemetra Sarah Ashley Obusez Gibson
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1972941763
PECOS PAC ID: 2466685268
Enrollment ID: I20240208000959
Provider NameKrisha Lamonica Arnold-robichaux
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1548412042
PECOS PAC ID: 9739522137
Enrollment ID: I20240213000222
Provider NameHolly Dawn Lawson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1659838936
PECOS PAC ID: 6103269519
Enrollment ID: I20240213000656
Provider NameWilliam Stellar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1053397182
PECOS PAC ID: 7113831215
Enrollment ID: I20240215003589
Provider NameJoel Thomas Hicks
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1437912375
PECOS PAC ID: 0648614743
Enrollment ID: I20240216001481
Provider NameBrian Joshua De Palma
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1700380458
PECOS PAC ID: 3072859404
Enrollment ID: I20240216002157
Provider NameMarcus Raymond Lewis
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1750623690
PECOS PAC ID: 2860788528
Enrollment ID: I20240220000795
Provider NameKulin Mahendrabhai Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558987552
PECOS PAC ID: 2567886591
Enrollment ID: I20240222000036
Provider NameRosalinda Thomas
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1417413774
PECOS PAC ID: 6608211818
Enrollment ID: I20240228000088
Provider NameLance Christopher Ward
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568231611
PECOS PAC ID: 3375989858
Enrollment ID: I20240306003289
Provider NameKiana Louise Booth
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1588335350
PECOS PAC ID: 4789020207
Enrollment ID: I20240307000014
Provider NameErica Fox
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1639681687
PECOS PAC ID: 2264878644
Enrollment ID: I20240307001837
Provider NameElizabeth Leah Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215115357
PECOS PAC ID: 1153467105
Enrollment ID: I20240307002348
Provider NameNubia Marilin Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306615232
PECOS PAC ID: 3870939291
Enrollment ID: I20240307003624
Provider NameDavid Johnston Burns
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1093114175
PECOS PAC ID: 4688010044
Enrollment ID: I20240308000401
Provider NameRebecca Shuford
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1427553486
PECOS PAC ID: 4880944172
Enrollment ID: I20240308002150
Provider NameRhonda Lee Skiles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871934463
PECOS PAC ID: 5294978904
Enrollment ID: I20240311000705
Provider NameCarla F Walkley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396185054
PECOS PAC ID: 1254568280
Enrollment ID: I20240311001358
Provider NameShea Roper Gregory
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790540722
PECOS PAC ID: 4082050141
Enrollment ID: I20240311004035
Provider NameAdrian Theron Martin
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1588209258
PECOS PAC ID: 6002241015
Enrollment ID: I20240315000971
Provider NameDeborah Lee Roy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700595444
PECOS PAC ID: 3173995461
Enrollment ID: I20240315001994
Provider NameYvette Marie Porter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053811570
PECOS PAC ID: 1951664903
Enrollment ID: I20240318001221
Provider NameXianyong Gui
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1780858597
PECOS PAC ID: 1759452691
Enrollment ID: I20240319003149
Provider NameChristopher Edison Villarraga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710456157
PECOS PAC ID: 6406191451
Enrollment ID: I20240323000000
Provider NameTracy Anne Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457830440
PECOS PAC ID: 4284970260
Enrollment ID: I20240326001988
Provider NameKiran Mullur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164982880
PECOS PAC ID: 2264769181
Enrollment ID: I20240329001574
Provider NameJosephine Rose Barrier Compeau
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1467159970
PECOS PAC ID: 3274992474
Enrollment ID: I20240329002680
Provider NameAlissa Allen Meads
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851776850
PECOS PAC ID: 1951749167
Enrollment ID: I20240408001693
Provider NameSonjia Regina Samuels
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1215966445
PECOS PAC ID: 9739528522
Enrollment ID: I20240412001380
Provider NameMichael Anthony Leone
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174892186
PECOS PAC ID: 2264871706
Enrollment ID: I20240417002522
Provider NameJamie Russell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578015137
PECOS PAC ID: 9133592090
Enrollment ID: I20240421000063
Provider NameErin Mikala Dickerson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386211167
PECOS PAC ID: 0345680161
Enrollment ID: I20240426002412
Provider NameSydnie Christmas Bottorff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477321909
PECOS PAC ID: 7416397120
Enrollment ID: I20240429002180
Provider NamePerla Jamilette Fuller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548850431
PECOS PAC ID: 9032559646
Enrollment ID: I20240430002230
Provider NameElizabeth Bost White
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1619470549
PECOS PAC ID: 9234567892
Enrollment ID: I20240501004212
Provider NameYasmin Evette Gay
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1083977250
PECOS PAC ID: 8123468576
Enrollment ID: I20240501004244
Provider NameDavid Jackson Johnson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1710377585
PECOS PAC ID: 4183066301
Enrollment ID: I20240520002547
Provider NameShelby Culler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770348450
PECOS PAC ID: 9830531011
Enrollment ID: I20240521001068
Provider NameElizabeth Hodges Shilling
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1053768382
PECOS PAC ID: 9638430499
Enrollment ID: I20240521001119
Provider NameKristen Koberstein Singleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750153227
PECOS PAC ID: 6204278138
Enrollment ID: I20240523002674
Provider NameJigisha Srivastav
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144808981
PECOS PAC ID: 9931509221
Enrollment ID: I20240530002795
Provider NameJennifer Keller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417728627
PECOS PAC ID: 3870035728
Enrollment ID: I20240606001249

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    
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

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.