Nicole Mary Kanin, PA - Medicare Physician Assistant in Winston Salem, NC

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Nicole Mary Kanin, PA is a medicare enrolled "Physician Assistant" in Winston Salem, North Carolina. Her current practice location is 2337 Winterhaven Ln, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 774-0044.

Nicole Mary Kanin is licensed to practice in North Carolina (license number 0010-03589) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760769509.

Contact Information

Nicole Mary Kanin, PA
2337 Winterhaven Ln,
Winston Salem, NC 27103-6792
(336) 774-0044
(336) 277-4349

Map and Direction




Provider's Profile

Full NameNicole Mary Kanin
GenderFemale
SpecialityPhysician Assistant
Location2337 Winterhaven Ln, Winston Salem, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760769509
  • Provider Enumeration Date: 11/08/2011
  • Last Update Date: 03/31/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0244407609
  • Enrollment ID: I20120906000913

Medical Identifiers

Medical identifiers for Nicole Mary Kanin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760769509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 015270-1 (New York)Secondary
363A00000XPhysician Assistant 0010-03589 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Mary Kanin allows following entities to bill medicare on her behalf.
Entity NameWake Forest Health Network LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477785756
PECOS PAC ID: 4183538895
Enrollment ID: O20031117000868
Entity NameNovant Health Medical Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameCarolina Medicorp Enterprises LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760950646
PECOS PAC ID: 0648174904
Enrollment ID: O20040110000190
Entity NameAsheboro Emergency Physicians PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689779720
PECOS PAC ID: 3476532920
Enrollment ID: O20040717000225
Entity NameWake Forest Emergency Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396216735
PECOS PAC ID: 7012819816
Enrollment ID: O20190312003619
Entity NameBrunswick Physician Partners PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457822264
PECOS PAC ID: 2062752470
Enrollment ID: O20190321002645
Entity NamePiedmont Triad Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295206464
PECOS PAC ID: 6406197334
Enrollment ID: O20190403000344
Entity NameKernersville Emergency Group, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750852034
PECOS PAC ID: 3375885429
Enrollment ID: O20190422001205
Entity NameTanglewood Park Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093286379
PECOS PAC ID: 3476895129
Enrollment ID: O20190429001041
Entity NameNovant Health Employer Solutions LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407668700
PECOS PAC ID: 8123511375
Enrollment ID: O20251205000462

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. Nicole Mary Kanin 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
Nicole Mary Kanin, PA
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (363) 774-0044		Nicole Mary Kanin, PA
2337 Winterhaven Ln,
Winston Salem, NC 27103-6792

Ph: (336) 774-0044

Reviews and Comments


Physician Assistant Nurses in Winston Salem, NC

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
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Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2011    
Seth Ryan Anderson, PA-C
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Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103
Phone: 336-765-0383    
Peyton Alexandra Mckean, PA-C
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Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-713-6428    Fax: 336-716-2525
Elizabeth Marie Maximilliana Strom, PA-C
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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
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Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston Salem, NC 27103
Phone: 336-275-3325    Fax: 336-275-5346

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.