Individual ProviderJohn R WolfeInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1381 Westgate Center Dr, Winston-Salem, NC 27103-2934(336) 718-0100PECOS EnrollmentBased on the most recent information from CMS, provider John R Wolfe 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 ID1932160546Provider TypeIndividualFull NameWolfe, John RCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/31/2006Last Updated2/13/2013Contact 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 PhysiciansLicense19143North CarolinaProvider IdentifiersIDDescriptionIssuerID8988750DescriptionMedicaidIssuerUnlistedNorth CarolinaID10041945DescriptionMedicaidIssuerUnlistedVirginia