Look up the most recent NPI and PECOS records

Steven Russell Klein

Internal Medicine

Allopathic & Osteopathic Physicians

3333 Brookview Hills Blvd, Ste 207, Winston-Salem, NC 27103-5661

PECOS Enrollment

This provider is enrolled in PECOS as STEVEN KLEIN.

Based on the most recent information from CMS, provider Steven Russell Klein is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1144224890
Provider Type
Individual
Full Name
Klein, Steven Russell
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/10/2005
Last Updated
5/24/2010

Contact Information

Practice Location

3333 Brookview Hills Blvd, Ste 207, Winston-Salem, NC 27103-5661

(336) 765-5250

(336) 659-0953

Mailing Location

1701 Westchester Dr, Ste 850, High Point, NC 27262-7254

(336) 802-2400

(336) 802-2001

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 21579 North Carolina
Code 174400000X	Description Specialist Other Service Providers	License 21579 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 8949665	Description Medicaid	Issuer Unlisted North Carolina
ID P00382631	Description Other	Issuer RR MEDICARE North Carolina
ID 21579	Description Other	Issuer MEDICAL LICENSE North Carolina

Steven Russell Klein

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Villeponteaux, Reginald Dale

Gillespie, Jeremy Thomas

Haulsee, Zachary Merle

Fromson, Jean V

Helms, Jefferson B.

Cullen, Peter P

Ivey, Holly Britt

Forsyth Memorial Hospital Inc

Bakare, Mobolaji Babatope

Hough, William A.