| Michael Scott Blau, PA-C | |
|
190 Kimel Park Dr Ste 140, Winston Salem, NC 27103-6946 | |
| (336) 277-2225 | |
| (336) 277-2231 |
| Full Name | Michael Scott Blau |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 190 Kimel Park Dr Ste 140, 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 |
|---|---|---|---|
| 1093789414 | NPI | - | NPPES |
| 8102570 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 103449 (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 |
|---|---|
| Michael Scott Blau, PA-C Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 277-2225 | Michael Scott Blau, PA-C 190 Kimel Park Dr Ste 140, Winston Salem, NC 27103-6946 Ph: (336) 277-2225 |
Mr. Kamron York Benfield, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4838 Fax: 336-716-7771 |
Andrea Whitley Peyton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 |
Seth Ryan Anderson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 |
Peyton Alexandra Mckean, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-713-6428 Fax: 336-716-2525 |
Elizabeth Marie Maximilliana Strom, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 131 Miller St, Winston Salem, NC 27103 Phone: 336-716-8200 Fax: 336-716-9841 |
Emily Grace Collins, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5010 Peters Creek Pkwy, Winston Salem, NC 27127 Phone: 336-788-4664 |
Bonnie Lynn Gaudin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston Salem, NC 27103 Phone: 336-275-3325 Fax: 336-275-5346 |