| Ashley Maner Tonidandel, MD | |
|
Medical Center Blvd, Winston-salem, NC 27157-0001 | |
| (336) 716-2255 | |
| (336) 716-8190 |
| Full Name | Ashley Maner Tonidandel |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | Medical Center Blvd, Winston-salem, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831307875 | NPI | - | NPPES |
| 5907505 | Medicaid | NC | |
| 202027 | Other | MEDCOST | |
| 9941091 | Other | AETNA | |
| 146F6 | Other | BCBS | |
| 810638 | Other | PARTNERS | |
| 3810009593 | Medicaid | WV | |
| Q41004 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 200401341 (North Carolina) | Secondary |
| 207L00000X | Anesthesiology | 200401341 (North Carolina) | Primary |
| 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 |
| Entity Name | Lake Norman Anesthesia Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386753457 PECOS PAC ID: 1951396126 Enrollment ID: O20040416001309 |
| Entity Name | Anesthesia Care Services Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20090813000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Maner Tonidandel, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Ashley Maner Tonidandel, MD Medical Center Blvd, Winston-salem, NC 27157-0001 Ph: (336) 716-2255 |
Dr. Peter David Rivera, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 177 Everidge Road, Winston-salem, NC 27103 Phone: 336-529-6353 | |
Dr. Brian Wayne Paitsel, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2011 | |
Archana Manoj Shah, D.O Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 | |
Joanna Matyska, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 | |
Dr. Christopher James Edwards, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Wake Forest University, Baptist Medical Center, Winston-salem, NC 27157 Phone: 336-716-5222 | |
Vidula T Vachharajani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-8190 |