| Robert Chin Jr, MD | |
|
3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 | |
| (336) 765-0383 | |
| (336) 760-6918 |
| Full Name | Robert Chin Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 3001 Lyndhurst Ave, Winston Salem, 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 |
|---|---|---|---|
| 1053396481 | NPI | - | NPPES |
| 4198 | Other | NC | PARTNERS |
| 197834000 | Medicaid | WV | |
| 5644077 | Other | NC | AETNA |
| 6050646 | Medicaid | VA | |
| 37223 | Other | NC | MEDCOST |
| 22354 | Other | NC | BCBS |
| Q32664 | Medicaid | SC | |
| 8922354 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 32664 (North Carolina) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 32664 (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 |
| Entity Name | Spectrum Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801878632 PECOS PAC ID: 1254234388 Enrollment ID: O20040128000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Chin Jr, MD 3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 Ph: (336) 765-0383 | Robert Chin Jr, MD 3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 Ph: (336) 765-0383 |
Shannon Mitchell St Clair, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Dr. Kamal Hanee Henderson, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050 | |
Dr. Michael Joseph Mccormack Jr., M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Randall Stephan Conrad, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305 | |
Brooke Williams, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383 | |
Dr. Analicia Marie Alvarado, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. David Defeo, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737 |