OrganizationBethany Medical Center(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address160 Kimel Forest Dr Ste 100, Winston Salem, NC 27103-6084(336) 883-0029PECOS EnrollmentBased on the most recent information from CMS, provider Bethany Medical Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1528554631Provider TypeOrganizationFull NameBethany Medical CenterOther Name<Unavail>SubpartYesEnumeration Date7/2/2018Last Updated10/13/2025Contact InformationPractice LocationPractice Address160 Kimel Forest Dr Ste 100, Winston Salem, NC 27103-6084Phone(336) 883-0029Fax(336) 899-2176Mailing LocationMailing Address507 N Lindsay St, High Point, NC 27262-4303Phone(336) 883-0029Fax(336) 899-2176Authorized OfficialNamePeters, Lenin J (Ceo)Phone(336) 883-0029Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208VP0000XDescriptionPain MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer