Individual ProviderDebra Renee TegelerInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address250 Charlois Blvd, Winston-Salem, NC 27103-1508(336) 718-1000(336) 718-4820PECOS EnrollmentBased on the most recent information from CMS, provider Debra Renee Tegeler 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 ID1669433900Provider TypeIndividualFull NameTegeler, Debra ReneeCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/28/2006Last Updated2/7/2013Contact InformationPractice LocationPractice Address250 Charlois Blvd, Winston-Salem, NC 27103-1508Phone(336) 718-1000Fax(336) 718-1050Mailing LocationMailing AddressPO Box 751803, Charlotte, NC 28275-1803Phone(336) 718-4820Fax(336) 718-1050Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense38449North CarolinaProvider IdentifiersIDDescriptionIssuerID8982332DescriptionMedicaidIssuerUnlistedNorth Carolina