Nicole Jean Prendergast, - Medicare Emergency Medicine in Winston Salem, NC

Nicole Jean Prendergast, is a medicare enrolled "Emergency Medicine - Sports Medicine" physician in Winston Salem, North Carolina. Her current practice location is Medical Center Boulevard, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-2255.

Nicole Jean Prendergast is licensed to practice in North Carolina (license number 2023-01108) 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 1073018081.

Contact Information

Nicole Jean Prendergast,
Medical Center Boulevard,
Winston Salem, NC 27157-0001
(336) 716-2255
Not Available



Physician's Profile

Full NameNicole Jean Prendergast
GenderFemale
SpecialityEmergency Medicine - Sports Medicine
LocationMedical Center Boulevard, 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: 1073018081
  • Provider Enumeration Date: 03/30/2018
  • Last Update Date: 07/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951785096
  • Enrollment ID: I20220908002268

Medical Identifiers

Medical identifiers for Nicole Jean Prendergast such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073018081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 65293 (Tennessee)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207PS0010XEmergency Medicine - Sports Medicine 2023-01108 (North Carolina)Primary

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 Jean Prendergast 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 Jean Prendergast,
Medical Center Boulevard,
Winston Salem, NC 27157-0001

Ph: (336) 716-2255
Nicole Jean Prendergast,
Medical Center Boulevard,
Winston Salem, NC 27157-0001

Ph: (336) 716-2255

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Emergency Medicine Doctors in Winston Salem, NC

Dr. Julio Miguel Arrieta, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Wake Forest Babtist Medical Ctr, Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-4195    
James Elbert Winslow Iii, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2255    Fax: 336-716-5438
Dr. Jason P. Stopyra, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2255    
Adam Scott Curatolo,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Emergency Medicine Department Meads Hl Fl 2, Wake Forest Baptist Medical Center Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-4629    
Shannon Celina Lyons, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-713-9100    
Mary Claire Obrien, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2255    
Nicholas Wayne Macklin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Medical Center Blvd, Winston Salem, NC 27157
Phone: 336-716-2255    Fax: 336-716-3202

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