| Bryon Evan Rubery, MD | |
|
186 Kimel Park Dr, Winston Salem, NC 27103-6946 | |
| (336) 277-2000 | |
| (336) 277-2050 |
| Full Name | Bryon Evan Rubery |
|---|---|
| Gender | Male |
| Speciality | Cardiac Electrophysiology |
| Experience | 28 Years |
| Location | 186 Kimel Park Dr, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447297833 | NPI | - | NPPES |
| 1286C | Other | NC | BCBS |
| 190065 | Other | NC | MEDCOST |
| 5905499 | Medicaid | NC | |
| 1447297833 | Medicaid | VA | |
| 7659265 | Other | NC | AETNA |
| 3810007248 | Medicaid | WV | |
| Q0027N | Medicaid | SC | |
| 41917 | Other | NC | PARTNERS |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Forsyth Memorial Hospital Inc | 9537071790 | 549 |
| 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 | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Novant Health Thomasville Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033160205 PECOS PAC ID: 5890605224 Enrollment ID: O20031222000916 |
| Entity Name | Medical Park Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003867516 PECOS PAC ID: 4880595958 Enrollment ID: O20040120000968 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028 |
| Entity Name | The Presbyterian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Entity Name | Novant Health Mint Hill Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 |
| Entity Name | Novant Health Ballantyne Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760190607 PECOS PAC ID: 4880065143 Enrollment ID: O20230518003163 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryon Evan Rubery, MD Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 277-2000 | Bryon Evan Rubery, MD 186 Kimel Park Dr, Winston Salem, NC 27103-6946 Ph: (336) 277-2000 |
Shannon Mitchell St Clair, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Dr. Kamal Hanee Henderson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Dr. Michael Joseph Mccormack Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Randall Stephan Conrad, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305 | |
Brooke Williams, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383 | |
Dr. Analicia Marie Alvarado, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. David Defeo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737 |