| Wake Forest Health Network Llc | |
|
1565 N University Parkway High Point NC 27262-7612 | |
| (336) 802-2020 | |
| (336) 802-2021 |
| Full Name | Wake Forest Health Network Llc |
|---|---|
| Speciality | Ophthalmology |
| Location | 1565 N University Parkway, High Point, North Carolina |
| Authorized Official Name and Position | Craig Michael Greven (SR VP CLINICAL OPERATIONS) |
| Authorized Official Contact | 3367161331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Forest Health Network Llc 1565 N University Pkwy High Point NC 27262-7613 Ph: (336) 802-2020 | Wake Forest Health Network Llc 1565 N University Parkway High Point NC 27262-7612 Ph: (336) 802-2020 |
| NPI Number | 1104959055 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 09/25/2025 |
| Medicare PECOS PAC ID | 4183538895 |
|---|---|
| Medicare Enrollment ID | O20100930040740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104959055 | NPI | - | NPPES |
| 890246J | Medicaid | NC | |
| 22797 | Other | NC | MEDCOST |
| CD6614 | Other | NC | RR MEDICARE |
| 1212660016 | Other | NC | DME |
| CC4243 | Other | NC | RR MEDICARE |
| CB8658 | Other | NC | RR MEDICARE |
| 7719721 | Other | NC | AETNA |
| ========= | Other | NC | TRICARE |
| D266 | Other | NC | PARTNERS |
| 0246J | Other | NC | BCBS |
| CC4241 | Other | NC | RR MEDICARE |
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