Anthony John Atala, MD in Winston Salem, NC

Anthony John Atala, MD is a medicare enrolled "Urology" physician in Winston Salem, North Carolina. His current practice location is 140 Charlois Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-4131.

Anthony John Atala is licensed to practice in North Carolina (license number 200400099) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235111832.

Contact Information

	Anthony John Atala, MD
	140 Charlois Blvd, Winston Salem, NC 27103-1522
	(336) 716-4131
	(336) 713-0328

Map and Direction

Physician's Profile

Full Name	Anthony John Atala
Gender	Male
Speciality	Urology
Location	140 Charlois Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235111832
Provider Enumeration Date: 11/18/2005
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 3375525819
Enrollment ID: I20040607001031

Medical Identifiers

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

Identifier	Type	State	Issuer
1235111832	NPI	-	NPPES
891359J	Medicaid	NC
1810835000	Medicaid	WV
1359J	Other		BCBS
10078199	Medicaid	VA
7644683	Other		AETNA
804009	Other		PARTNERS
D2424	Other		MEDCOST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	200400099 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Anthony John Atala allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anthony John Atala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Anthony John Atala, MD 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 716-0238	Anthony John Atala, MD 140 Charlois Blvd, Winston Salem, NC 27103-1522 Ph: (336) 716-4131

Reviews and Comments

Urology Doctors in Winston Salem, NC

Dr. Oliver James Hart Iii, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2010 Baldwin Ln, Winston Salem, NC 27103 Phone: 336-277-1717 Fax: 336-277-1718
Steve James Hodges, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-2255 Fax: 336-716-9042
Dr. Shuo Liu, MD Urology Medicare: Medicare Enrolled Practice Location: Department Of Urology Medical Center Boulevard, Winston Salem, NC 27157 Phone: 336-716-5253
Majid Mirzazadeh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328
Dr. Connor Gregory Policastro, MD Urology Medicare: Medicare Enrolled Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328
Dr. Kyle Scarberry, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328
Dr. Ryan Patrick Terlecki, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-716-9042

Anthony John Atala, MD - Medicare Urology in Winston Salem, NC