Jacob Rasheen Gilchrist, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Winston Salem, North Carolina. His current practice location is
Medical Center Boulevard, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 716-2783.
Jacob Rasheen Gilchrist is licensed to practice in * (Not Available) (license number ) 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 1710567698.
Physician's Profile
| Full Name | Jacob Rasheen Gilchrist |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | Medical Center Boulevard, Winston Salem, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710567698
- Provider Enumeration Date: 04/13/2021
- Last Update Date: 01/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 1254713597
- Enrollment ID: I20220802003229
Medical Identifiers
Medical identifiers for Jacob Rasheen Gilchrist such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710567698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | RTL22-0206 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Jacob Rasheen Gilchrist 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 |
Jacob Rasheen Gilchrist, MD One Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: () - | Jacob Rasheen Gilchrist, MD Medical Center Boulevard, Winston Salem, NC 27157-4492 Ph: (336) 716-2783 |
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