| Robert Stephen Weller, MD | |
|
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
| (336) 716-2255 | |
| (336) 716-8190 |
| Full Name | Robert Stephen Weller |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | Medical Center Blvd, 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 |
|---|---|---|---|
| 1386629244 | NPI | - | NPPES |
| 1068K | Other | BCBS | |
| 5785601 | Other | AETNA | |
| 20893 | Other | PARTNERS | |
| Q01653 | Medicaid | SC | |
| 74317 | Other | MEDCOST | |
| 220935000 | Medicaid | WV | |
| 891068K | Medicaid | NC | |
| 50086563 | Other | RR MEDICARE | |
| 5712378 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 9701653 (North Carolina) | Secondary |
| 207L00000X | Anesthesiology | 9701653 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Stephen Weller, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Robert Stephen Weller, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
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: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Winston Salem, NC 27103 Phone: 336-716-7194 |