| Dr John Anderson Fagg, MD | |
|
2901 Maplewood Ave, Winston-salem, NC 27103 | |
| (336) 765-8620 | |
| (336) 768-6236 |
| Full Name | Dr John Anderson Fagg |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 2901 Maplewood Ave, 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 |
|---|---|---|---|
| 1316905508 | NPI | - | NPPES |
| 240001710 | Other | NC | RAILROAD MEDICARE |
| 8931036 | Medicaid | NC | |
| 60623 | Other | NC | MEDCOST |
| 31036 | Other | NC | BCBS |
| 912 | Other | NC | PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 200001199779 (North Carolina) | Primary |
| Entity Name | Forsyth Plastic Surgical Assoc Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811090475 PECOS PAC ID: 9537358395 Enrollment ID: O20110110000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Anderson Fagg, MD 2901 Maplewood Ave, Winston-salem, NC 27103 Ph: (336) 765-8620 | Dr John Anderson Fagg, MD 2901 Maplewood Ave, Winston-salem, NC 27103 Ph: (336) 765-8620 |
Scott L Tucker, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1345a Westgate Center Dr, Winston-salem, NC 27103 Phone: 336-768-8483 Fax: 336-768-1195 | |
Dr. Andrew Mark Schneider, M Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2901 Maplewood Ave, Winston-salem, NC 27103 Phone: 336-765-8620 Fax: 336-768-6236 |