| Monogram Health Professional Services Of North Carolina Pc | |
|
615 Saint George Square Ct Ste 300 Winston Salem NC 27103-1368 | |
| (615) 673-4455 | |
| (615) 432-4651 |
| Full Name | Monogram Health Professional Services Of North Carolina Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 615 Saint George Square Ct Ste 300, Winston Salem, North Carolina |
| Authorized Official Name and Position | Shawn L Verner (SECRETARY) |
| Authorized Official Contact | 6159941889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monogram Health Professional Services Of North Carolina Pc 5410 Maryland Way Ste 301 Brentwood TN 37027-5339 Ph: (615) 673-4455 | Monogram Health Professional Services Of North Carolina Pc 615 Saint George Square Ct Ste 300 Winston Salem NC 27103-1368 Ph: (615) 673-4455 |
| NPI Number | 1366162885 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 09/09/2022 |
| Medicare PECOS PAC ID | 9335517176 |
|---|---|
| Medicare Enrollment ID | O20221129000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366162885 | NPI | - | NPPES |
| Provider Name | Amy Louise Crittenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164985008 PECOS PAC ID: 2668715749 Enrollment ID: I20190513000172 |
| Provider Name | Noel Meikle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887554 PECOS PAC ID: 7315278611 Enrollment ID: I20191018000028 |
| Provider Name | Samuel Mark Shores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992477020 PECOS PAC ID: 8022401637 Enrollment ID: I20220203000203 |
| Provider Name | Shaminder Gupta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730183401 PECOS PAC ID: 1658322300 Enrollment ID: I20221129000196 |
| Provider Name | Moniba Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659502441 PECOS PAC ID: 7517115074 Enrollment ID: I20230501002676 |
| Provider Name | Anthony Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285219733 PECOS PAC ID: 4880050509 Enrollment ID: I20230522002296 |
| Provider Name | Hannah Troutman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720243009 PECOS PAC ID: 9537301569 Enrollment ID: I20230601002883 |
| Provider Name | Katrina Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205311792 PECOS PAC ID: 2860856002 Enrollment ID: I20230907000109 |
| Provider Name | Lubna Aslam Rashid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760626337 PECOS PAC ID: 9739374851 Enrollment ID: I20230929000616 |
| Provider Name | Susan Bell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336285873 PECOS PAC ID: 7517122013 Enrollment ID: I20231019003188 |
| Provider Name | Zahily Fals |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598078115 PECOS PAC ID: 6103121520 Enrollment ID: I20240205002224 |
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