| Mrs Srisai Saratdyuti Tenjerla, PA-C | |
|
2635 Lawndale Dr, Greensboro, NC 27408-4802 | |
| (336) 867-4310 | |
| (336) 867-4311 |
| Full Name | Mrs Srisai Saratdyuti Tenjerla |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 2635 Lawndale Dr, 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 |
|---|---|---|---|
| 1528849882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 0010-13813 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Family Care Fuquay Pllc | 6103258306 | 33 |
| Entity Name | Carolina Medicorp Enterprises LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760950646 PECOS PAC ID: 0648174904 Enrollment ID: O20040110000190 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
| Entity Name | American Family Care Fuquay PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770135808 PECOS PAC ID: 6103258306 Enrollment ID: O20191108001342 |
| Entity Name | Shae Medical, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053084202 PECOS PAC ID: 6305242066 Enrollment ID: O20210903000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Srisai Saratdyuti Tenjerla, PA-C Po Box 601843, Charlotte, NC 28260-1843 Ph: Not Available | Mrs Srisai Saratdyuti Tenjerla, PA-C 2635 Lawndale Dr, Greensboro, NC 27408-4802 Ph: (336) 867-4310 |
Ms. Heather Joy Laisure, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5701 W Friendly Ave, Greensboro, NC 27410 Phone: 336-852-1915 Fax: 336-294-3544 |
Sara Heinz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 N Elam Ave, Greensboro, NC 27403 Phone: 336-547-1745 |
Collin Fisher Hinnant, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1121 N Church St, Greensboro, NC 27401 Phone: 336-207-7005 |
Emma Maureen Collins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2105 Braxton Ln, Suite 101, Greensboro, NC 27408 Phone: 336-333-6306 Fax: 336-333-6309 |
Irene Thomas Thayil, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Elam Ave, Greensboro, NC 27403 Phone: 336-832-1100 |
Taylor Mackenzie Dale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1313 Carolina St Ste 101, Greensboro, NC 27401 Phone: 336-275-0927 |
Michael Carnaghi, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1915 Lendew St, Greensboro, NC 27408 Phone: 336-275-3325 Fax: 336-275-5346 |