Individual ProviderRichard S MarxInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1381 Westgate Center Dr, Winston-Salem, NC 27103-2934(336) 718-0100PECOS EnrollmentBased on the most recent information from CMS, provider Richard S Marx 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 ID1568438018Provider TypeIndividualFull NameMarx, Richard SCredentialMDGenderMaleSole ProprietorNoEnumeration Date2/24/2006Last Updated10/11/2016Contact InformationPractice LocationPractice Address1381 Westgate Center Dr, Winston-Salem, NC 27103-2934Phone(336) 718-0100Fax(336) 718-0120Mailing LocationMailing AddressPO Box 751803, Charlotte, NC 28275-1803Phone(336) 718-0100Fax(336) 718-0120Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense19372North CarolinaCode207RI0200XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense19372North CarolinaProvider IdentifiersIDDescriptionIssuerID1578511606DescriptionMedicaidIssuerUnlistedVirginiaID8954548DescriptionMedicaidIssuerUnlistedNorth Carolina