| Sigmund Ian Tannenbaum, MD | |
|
509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 | |
| (336) 274-1114 | |
| (336) 232-5325 |
| Full Name | Sigmund Ian Tannenbaum |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 50 Years |
| Location | 509 N Elam Ave Fl 2, Greensboro, 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 |
|---|---|---|---|
| 1225024540 | NPI | - | NPPES |
| 81526 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8981526 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 20977 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 | Alliance Urology Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346204088 PECOS PAC ID: 8921902586 Enrollment ID: O20031125000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Sigmund Ian Tannenbaum, MD 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 Ph: (336) 274-1114 | Sigmund Ian Tannenbaum, MD 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 Ph: (336) 274-1114 |
Houston Magill Kimbrough Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-232-5325 | |
Mark Conrad Ottelin, MD Urology Medicare: Medicare Enrolled Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-232-5325 | |
Dr. Patrick Lee Mckenzie, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-274-9638 | |
Lester Stuart Borden Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-232-5325 | |
David Stanley Grapey, MD Urology Medicare: Medicare Enrolled Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-232-5324 | |
Scott Avard Macdiarmid, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-232-5325 |