| Nicholas Theophilos Kipreos, MD | |
|
865 W Lake Dr, Mount Airy, NC 27030-2157 | |
| (336) 719-6100 | |
| (336) 719-2313 |
| Full Name | Nicholas Theophilos Kipreos |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 865 W Lake Dr, Mount Airy, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104825926 | NPI | - | NPPES |
| 005614236 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101049407 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 2016-00121 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Liberty Home Care V Llc | Stuart, VA | Home health agency |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Northern Regional Hospital | Mount airy, NC | Hospital |
| Sovah Health Danville | Danville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oandw Enterprises | 6608927298 | 143 |
| Forsyth Memorial Hospital Inc | 9537071790 | 549 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Theophilos Kipreos, MD Po Box 751803, Charlotte, NC 28275-1803 Ph: (276) 694-6677 | Nicholas Theophilos Kipreos, MD 865 W Lake Dr, Mount Airy, NC 27030-2157 Ph: (336) 719-6100 |
Richard Ray Herber, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 S South St, Mount Airy, NC 27030 Phone: 336-783-8900 Fax: 336-783-3417 | |
Dr. Michael Merz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 S South St, Mount Airy, NC 27030 Phone: 336-783-8900 Fax: 336-783-3417 | |
Amy Louise Crittenden, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 708 S South St Ste 200, Mount Airy, NC 27030 Phone: 336-786-6146 Fax: 336-786-8973 | |
Mark Alan Dodd, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 865 W Lake Dr, Mount Airy, NC 27030 Phone: 336-719-6100 Fax: 336-719-2313 | |
William B. Hooks, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 865 W Lake Dr, Dba Medical Associates Of Surry, Mount Airy, NC 27030 Phone: 336-719-6100 Fax: 336-719-2313 | |
Stephanie Michelle Garcia, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 865 W Lake Dr, Mount Airy, NC 27030 Phone: 336-719-6100 Fax: 336-719-2313 |