Individual ProviderTamara BurksInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address190 Kimel Park Dr, Winston Salem, NC 27103-6946(336) 768-3296PECOS EnrollmentBased on the most recent information from CMS, provider Tamara Burks is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1245290055Provider TypeIndividualFull NameBurks, TamaraGenderFemaleSole ProprietorNoEnumeration Date3/24/2006Last Updated2/25/2009Contact InformationPractice LocationPractice Address190 Kimel Park Dr, Winston Salem, NC 27103-6946Phone(336) 768-3296FaxUnlisted FaxMailing LocationMailing Address190 Kimel Park Dr, Winston Salem, NC 27103-6946PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME85258Florida