| Mr Brian Scott Maieli, PA-C, ATC, CSCS | |
|
19485 Old Jetton Rd, Suite 210, Winston Salem, NC 27104-3769 | |
| (704) 316-1830 | |
| (704) 316-1835 |
| Full Name | Mr Brian Scott Maieli |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 19485 Old Jetton Rd, Winston Salem, 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 |
|---|---|---|---|
| 1700052297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 011977 (New York) | Secondary |
| 363A00000X | Physician Assistant | 0010-07061 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Huntersville Medical Center | Huntersville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2413 |
| Entity Name | Novant Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Novant Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Scott Maieli, PA-C, ATC, CSCS Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 768-9535 | Mr Brian Scott Maieli, PA-C, ATC, CSCS 19485 Old Jetton Rd, Suite 210, Winston Salem, NC 27104-3769 Ph: (704) 316-1830 |
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 |