Stacy Wentworth, MD | |
501 N. Elam Avenue, Greensboro, NC 27403 | |
(336) 832-1100 | |
Not Available |
Full Name | Stacy Wentworth |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 20 Years |
Location | 501 N. Elam Avenue, Greensboro, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073792974 | NPI | - | NPPES |
1073792974 | Medicaid | VA | |
P00838358 | Other | NC | MEDICARE RAILROAD |
5912234 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 2007-00580 (North Carolina) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 200700580 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Iredell Memorial Hospital Inc | Statesville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wake Forest University Health Sciences | 4486564952 | 1987 |
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 | Southeast Radiation Oncology Group, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568400109 PECOS PAC ID: 1254233950 Enrollment ID: O20040123000049 |
Entity Name | Greensboro Radiation Oncologists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609828698 PECOS PAC ID: 4688641939 Enrollment ID: O20040915000646 |
Mailing Address | Practice Location Address |
---|---|
Stacy Wentworth, MD 1317 N Elm St, Ste. 1b, Greensboro, NC 27401-1033 Ph: (336) 274-9617 | Stacy Wentworth, MD 501 N. Elam Avenue, Greensboro, NC 27403 Ph: (336) 832-1100 |
Melinda Ann Blietz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Raymond Charles Rubner Jr., M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 1331 N Elm St, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Dr. David Sung Kwon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
James Judd Green Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1331 N Elm St Ste 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Dr. Paul Douglas Barry, MD Radiology Medicare: Medicare Enrolled Practice Location: 1331 North Elm Street, Suite 200, Greensboro, NC 27401 Phone: 336-274-9617 Fax: 336-482-2177 | |
Dr. Otis Norwood Fisher, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1317 N Elm St, Suite 1b, Greensboro, NC 27401 Phone: 336-274-4285 Fax: 336-268-9062 |