Dr Samuel Sparrow Pendergraft, PHD, PA-C - Medicare Physician Assistant in Winston Salem, NC

Dr Samuel Sparrow Pendergraft, PHD, PA-C is a medicare enrolled "Physician Assistant" in Winston Salem, North Carolina. He graduated from nursing school in 2018 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Wake Forest University Health Sciences and his current practice location is 140 Charlois Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 713-0319.

Dr Samuel Sparrow Pendergraft is licensed to practice in North Carolina (license number 0010-08261) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013492180.

Contact Information

Dr Samuel Sparrow Pendergraft, PHD, PA-C
140 Charlois Blvd,
Winston Salem, NC 27103-1522
(336) 713-0319
Not Available

Map and Direction




Provider's Profile

Full NameDr Samuel Sparrow Pendergraft
GenderMale
SpecialityPhysician Assistant
Experience3 Years
Location140 Charlois Blvd, Winston Salem, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samuel Sparrow Pendergraft graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1013492180
  • Provider Enumeration Date: 09/25/2018
  • Last Update Date: 09/25/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8123364296
  • Enrollment ID: I20190110000569

Medical Identifiers

Medical identifiers for Dr Samuel Sparrow Pendergraft such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013492180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-08261 (North Carolina)Primary

Hospital Affiliation

Hospital NameLocationType
Wilkes Regional Medical CenterNorth wilkesboro, NCAcute Care Hospital
North Carolina Baptist HospitalWinston-salem, NCAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Forest University Health Sciences44865649521856

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Sparrow Pendergraft is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samuel Sparrow Pendergraft, PHD, PA-C
506 Corona St,
Winston Salem, NC 27103-2819

Ph: (919) 740-4990
Dr Samuel Sparrow Pendergraft, PHD, PA-C
140 Charlois Blvd,
Winston Salem, NC 27103-1522

Ph: (336) 713-0319

Reviews and Comments


Physician Assistant Nurses in Winston Salem, NC

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Phone: 336-718-7080    Fax: 336-718-9622

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.