| Nathanael Elvin Phillips, MD | |
| 
					329 Nc Highway 801 N, Bermuda Run, NC 27006-7905  | |
| (336) 716-9253 | |
| (336) 716-0030 | 
| Full Name | Nathanael Elvin Phillips | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Pulmonary Disease | 
| Location | 329 Nc Highway 801 N, Bermuda Run, 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 | 
|---|---|---|---|
| 1851826325 | NPI | - | NPPES | 
| 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  | 
| Entity Name | Moses Cone Medical Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427095249 PECOS PAC ID: 2769395458 Enrollment ID: O20040128000519  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nathanael Elvin Phillips, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-9253  | Nathanael Elvin Phillips, MD 329 Nc Highway 801 N, Bermuda Run, NC 27006-7905 Ph: (336) 716-9253  | 
Navid Azar Nafissi, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006 Phone: 336-716-6674  | |
Shruthi Ponnala, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006 Phone: 336-998-2228  | |
Dr. Shivam Prakash Kalan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 329 Nc Highway 801 N, Bermuda Run, NC 27006 Phone: 336-716-9253 Fax: 336-716-0030  |