| Dr Martin A Portillo, MD | |
|
1115 Silas Creek Pkwy, Winston Salem, NC 27127-5627 | |
| (704) 251-8228 | |
| Not Available |
| Full Name | Dr Martin A Portillo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1115 Silas Creek Pkwy, 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 |
|---|---|---|---|
| 1134292493 | NPI | - | NPPES |
| Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541 |
| Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013265909 PECOS PAC ID: 6204744600 Enrollment ID: O20121003000518 |
| Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801137435 PECOS PAC ID: 6204744600 Enrollment ID: O20130717000817 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin A Portillo, MD 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: (888) 987-1151 | Dr Martin A Portillo, MD 1115 Silas Creek Pkwy, Winston Salem, NC 27127-5627 Ph: (704) 251-8228 |
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 |