| Mrs Nancy Irene Faller, DO | |
|
145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | |
| (336) 765-6181 | |
| (336) 765-8492 |
| Full Name | Mrs Nancy Irene Faller |
|---|---|
| Gender | Female |
| Speciality | Pain Management |
| Experience | 41 Years |
| Location | 145 Kimel Park Dr, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811952740 | NPI | - | NPPES |
| 13736 | Other | NC | BLUE CROSS & BLUE SHIELD |
| 8931096 | Medicaid | NC | |
| D8837 | Other | NC | MEDCOST |
| 05609128 | Other | NC | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 9401402 (North Carolina) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 9401402 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hugh Chatham Memorial Hospital | Elkin, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Spine And Pain Specialists Pc | 2860543097 | 26 |
| Entity Name | Wake Spine & Pain Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568696748 PECOS PAC ID: 2860543097 Enrollment ID: O20090630000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nancy Irene Faller, DO 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 Ph: (336) 765-6181 | Mrs Nancy Irene Faller, DO 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 Ph: (336) 765-6181 |
Craig Michael Combs, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. Susan Elizabeth Atkin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. Adair Quattlebaum Locke, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 | |
Johan Suyderhoud, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-3202 | |
James Joseph O'brien, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Herbert Mynatt Floyd, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Ann E Lawrence, M.D Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Winston Salem, NC 27103 Phone: 336-716-7194 |