| Timothy Peters, MD | |
|
Medical Center Blvd, Winston-salem, NC 27157-0001 | |
| (336) 716-2255 | |
| Not Available |
| Full Name | Timothy Peters |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Infectious Diseases |
| 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 |
|---|---|---|---|
| 1750478889 | NPI | - | NPPES |
| 196290 | Other | MEDCOST | |
| 7093512 | Other | AETNA | |
| 145YK | Other | BCBS | |
| 3810008320 | Medicaid | WV | |
| Q00114 | Medicaid | SC | |
| 5906322 | Medicaid | NC | |
| 810655 | Other | PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MD31615 (Tennessee) | Secondary |
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | 2007-00114 (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 |
|---|---|
| Timothy Peters, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Timothy Peters, MD Medical Center Blvd, Winston-salem, NC 27157-0001 Ph: (336) 716-2255 |
Jon Stuart Abramson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 | |
W. Wayne Franklin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Charlois Blvd, Winston-salem, NC 27103 Phone: 336-718-1002 Fax: 336-718-1058 | |
Marguerite T Tennille, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2808 Maplewood Ave, Winston-salem, NC 27103 Phone: 336-765-9000 Fax: 336-765-5702 | |
Elizabeth Cobey Allen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 | |
Jennifer Marie Jackson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 | |
Dr. Sarah Nicole Cilvik, MD,PHD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Boulevard, Department Of Pediatrics, Winston-salem, NC 27157 Phone: 314-413-0567 | |
Lisa Katheryn Washburn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-716-2255 |