| Omar Pastor Sangueza, MD | |
|
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
| (336) 716-2255 | |
| (336) 716-7595 |
| Full Name | Omar Pastor Sangueza |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 47 Years |
| Location | Medical Center Blvd, Winston Salem, 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 |
|---|---|---|---|
| 1770569436 | NPI | - | NPPES |
| 006607080 | Medicaid | VA | |
| 89126MP | Medicaid | NC | |
| 006600531 | Medicaid | VA | |
| G40302 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZD0900X | Pathology - Dermatopathology | 200000967 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| High Point Regional Health System | High point, NC | Hospital |
| Novant Health Medical Park Hospital | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cutaneous Pathology, P.a. | 0446314918 | 2 |
| Skin Surgery Center Pa | 3173599479 | 60 |
| Wake Forest University Health Sciences | 4486564952 | 2274 |
| 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 | Skin Surgery Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649237082 PECOS PAC ID: 3173599479 Enrollment ID: O20040908000943 |
| Entity Name | Cutaneous Pathology, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881841856 PECOS PAC ID: 0446314918 Enrollment ID: O20090128000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Omar Pastor Sangueza, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Omar Pastor Sangueza, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
Stacey O'neill, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4195 Fax: 336-716-3202 | |
Dr. Kimberly Ann Stogner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Department Of Pathology, Winston Salem, NC 27157 Phone: 336-716-2673 | |
Dr. Herbert Miles Schiller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2851 Kensington Rd, Winston Salem, NC 27106 Phone: 336-724-9607 | |
Graham Parks, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595 | |
Gregory Jay Pomper, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6368 | |
Dr. Cyrus Koresh Manavi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595 | |
Rebecca Montez Steele, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2115 |