| Dr Edward Chung, MD | |
|
3333 Silas Creek Parkway, Winston-salem, NC 27103-3013 | |
| (336) 718-7080 | |
| (336) 718-9622 |
| Full Name | Dr Edward Chung |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 3333 Silas Creek Parkway, 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 |
|---|---|---|---|
| 1174510804 | NPI | - | NPPES |
| 89132F2 | Medicaid | NC | |
| N00663 | Medicaid | SC | |
| 1174510804 | Other | NC | RAILROAD MEDICARE |
| 132F2 | Other | NC | BLUECROSS BLUESHIELD |
| 1174510804 | Other | NC | BLUE MEDICARE |
| 110238891 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200100662 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 200100662 (North Carolina) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Chung, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 718-7080 | Dr Edward Chung, MD 3333 Silas Creek Parkway, Winston-salem, NC 27103-3013 Ph: (336) 718-7080 |
Brent Frederick, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-3465 | |
Dr. Trinity Vera, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Winston-salem, NC 27103 Phone: 601-594-6633 |