Individual
CAROLYN MOENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102416
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346216835
TRICARE
NC
05
—
1346216835
—
NC
01
—
1737PA
SC MEDICAID
SC
01
—
182YG
BCBS
NC
01
—
9627217
AETNA
NC
Enumeration date
02/24/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us