| Drew Standifer, | |
|
5054 Peters Creek Pkwy Ste 18, Winston Salem, NC 27127-7276 | |
| (336) 771-3900 | |
| (336) 771-7002 |
| Full Name | Drew Standifer |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5054 Peters Creek Pkwy Ste 18, 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 |
|---|---|---|---|
| 1114582822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P18765 (North Carolina) | Primary |
| Provider Name | Tennessee Sports Medicine Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992947527 PECOS PAC ID: 4183771504 Enrollment ID: O20090605000577 |
| Mailing Address | Practice Location Address |
|---|---|
| Drew Standifer, 1200 Corporate Dr Ste 300, Birmingham, AL 35242-2944 Ph: (423) 682-8840 | Drew Standifer, 5054 Peters Creek Pkwy Ste 18, Winston Salem, NC 27127-7276 Ph: (336) 771-3900 |
Dhiane Lumbres, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3230 Reynolda Rd, Winston Salem, NC 27106 Phone: 336-722-2223 Fax: 336-722-2263 | |
Christopher Backus, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Maplewood Ave, Suite A, Winston Salem, NC 27103 Phone: 336-765-4703 Fax: 336-765-1396 | |
Sidney Davis Brooks, PT, DPT, CPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 760 Highland Oaks Dr, Winston Salem, NC 27103 Phone: 336-659-8634 Fax: 336-659-8636 | |
Foundation Health Systems Corp Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3474 Robinhood Rd, Winston Salem, NC 27106 Phone: 336-718-6700 Fax: 336-718-6798 | |
Dr. Cory Aaron Alcon, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Miller St, Winston Salem, NC 27103 Phone: 336-716-8110 | |
Brooke Slatten Balestrieri, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1396b Westgate Center Dr, Winston Salem, NC 27103 Phone: 336-331-3277 Fax: 336-331-3279 | |
Kelsey Pelfrey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Hanestown Ct Ste 151, Winston Salem, NC 27103 Phone: 336-765-9350 |