Charles Randall Clinch, DO in Winston Salem, NC

Charles Randall Clinch, DO is a medicare enrolled "Family Medicine" physician in Winston Salem, North Carolina. His current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-2255.

Charles Randall Clinch is licensed to practice in North Carolina (license number 200000381) 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 1053395566.

Contact Information

	Charles Randall Clinch, DO
	Medical Center Blvd, Winston Salem, NC 27157-0001
	(336) 716-2255
	Not Available

Map and Direction

Physician's Profile

Full Name	Charles Randall Clinch
Gender	Male
Speciality	Family Medicine
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.

NPI Data:

NPI Number: 1053395566
Provider Enumeration Date: 11/30/2005
Last Update Date: 03/25/2014

Medicare PECOS Information:

PECOS PAC ID: 4183769631
Enrollment ID: I20100308000855

Medical Identifiers

Medical identifiers for Charles Randall Clinch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053395566	NPI	-	NPPES
10060869	Medicaid	VA
89126KG	Medicaid	NC
97761	Other	NC	MEDCOST
126KG	Other	NC	BCBS
3810010791	Medicaid	WV
7816219	Other	NC	AETNA
807178	Other	NC	PARTNERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	200000381 (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. Charles Randall Clinch 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

Entity Name	Forsyth Community Pcc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730670951 PECOS PAC ID: 4486908316 Enrollment ID: O20181113001654

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. Charles Randall Clinch 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
Charles Randall Clinch, DO Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255	Charles Randall Clinch, DO Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255

Reviews and Comments

Family Medicine Doctors in Winston Salem, NC

Jessica Hart St. John, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1834 Wake Forest Rd, Winston Salem, NC 27109 Phone: 336-758-5218
Dr. Timothy Lee Fischer, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4692 Brownsboro Rd, Winston Salem, NC 27106 Phone: 336-251-1114
Katherine Farris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Maplewood Ave, Suite 112, Winston Salem, NC 27103 Phone: 336-768-2980 Fax: 336-765-6599
Michael Lee Coates, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Dr. Robert Kenneth Beam, MD, PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 336-718-0050
Ricky Howard Stugart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Robinhood Medical Plz, Dba Maplewood Family Practice, Winston Salem, NC 27106 Phone: 336-718-0800 Fax: 336-718-0871
Dr. Michele Denise Powell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7781 N Point Blvd, Winston Salem, NC 27106 Phone: 336-765-3430 Fax: 336-765-3429

Charles Randall Clinch, DO - Medicare Family Medicine in Winston Salem, NC