| Mark Justin Hylarides, MD | |
|
1370 W D St, North Wilkesboro, NC 28659-3506 | |
| (336) 651-8100 | |
| (336) 716-0030 |
| Full Name | Mark Justin Hylarides |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1370 W D St, North Wilkesboro, 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 |
|---|---|---|---|
| 1285194662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD61200401 (Washington) | Secondary |
| 208M00000X | Hospitalist | 2022-02050 (North Carolina) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Justin Hylarides, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 651-8100 | Mark Justin Hylarides, MD 1370 W D St, North Wilkesboro, NC 28659-3506 Ph: (336) 651-8100 |
Longinus Olewuike Agor, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-716-2255 | |
Nana Nuamah, NP Hospitalist Medicare: Medicare Enrolled Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-651-8100 | |
Paul Wesley Hofferbert, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-651-8294 Fax: 336-651-8100 | |
Dr. Cody Hamilton Davis, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-716-2255 | |
Linda S. O'brien, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1370 W D St, North Wilkesboro, NC 28659 Phone: 336-716-2255 |