Individual ProviderTrinity VeraInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1 Medical Center Blvd, Winston-Salem, NC 27103(601) 594-6633PECOS EnrollmentBased on the most recent information from CMS, provider Trinity Vera is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1821300047Provider TypeIndividualFull NameVera, TrinityTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/2/2010Last Updated10/15/2020Contact InformationPractice LocationPractice Address1 Medical Center Blvd, Winston-Salem, NC 27103Phone(601) 594-6633FaxUnlisted FaxMailing LocationMailing Address1 Medical Center Blvd, Winston-Salem, NC 27103Phone(601) 594-6633FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense2013-01487North CarolinaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense2013-01487North CarolinaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense792-LMississippiProvider IdentifiersIDDescriptionIssuerID2013-01487DescriptionOtherIssuerNC LICENCENorth CarolinaID792-LDescriptionOtherIssuerMS TEMP MEDICAL LICENSEMississippi