SARAH ELIZABETH WADDLE PA-C
NPI 1598492092
Physician Assistant in Winston Salem, NC

NPI Status: Active since August 04, 2022

Contact Information

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2011
Fax: (336) 713-5445

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  • Individual
  • Female
  • Years of Experience 4
  • Physician Assistant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SARAH WADDLE

This page provides the complete NPI Profile along with additional information for Sarah Waddle, a primary care provider established in Winston Salem, North Carolina with a medical specialization in Physician Assistant and more than 4 years of experience. She graduated from Wake Forest University School Of Medicine in 2022. The healthcare provider is registered in the NPI registry with number 1598492092 assigned on August 2022. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1598492092
Provider Name
SARAH ELIZABETH WADDLE PA-C
Gender
Female
Entity Type
Individual
Location Address
MEDICAL CENTER BLVD WINSTON SALEM, NC 27157
Location Phone
(336) 716-2011
Location Fax
(336) 713-5445
Mailing Address
MEDICAL CENTER BLVD WINSTON SALEM, NC 27157
Mailing Phone
(336) 713-5440
Mailing Fax
(336) 713-5445
Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
08-04-2022
Last Update Date
08-31-2022
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A primary care provider (PCP) like Sarah Waddle sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License State
NC
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Sarah Waddle is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Sarah Waddle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9133595374

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20221013000881

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.97 for a new patient copayment and $16.93 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 27157 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.9
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $20.97
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.72
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $16.93
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sarah Waddle is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTH CAROLINA BAPTIST HOSPITALMEDICAL CENTER BOULEVARD
WINSTON-SALEM, NC 27157
(336) 716-2011Acute Care Hospitals

Reviews for SARAH ELIZABETH WADDLE PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1598492092
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25188894018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 8 + 9 + 4 + 0 + 1 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1598492092 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. GARY LEE RAY MSN, CRNA

Nurse Anesthetist, Certified Registered

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 713-2555

PETER A VALEN MD

Internal Medicine

(Rheumatology)

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-2255

MR. JAMES BOYD THOMAS CRNA

Nurse Anesthetist, Certified Registered

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-6719

MARTHA SCHELL SOOTS CRNA

Nurse Anesthetist, Certified Registered

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-3069

MS. LINDA MARIE SANGIULIANO CRNA

Nurse Anesthetist, Certified Registered

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-6701

KAREN M HARP CRNA

Nurse Anesthetist, Certified Registered

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-6719

MRS. ALISA LAWSON STARBUCK RN NNP

Nurse Practitioner

(Neonatal)

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 713-6498

RICHARD HENRY DEAN MD

Surgery

(Vascular Surgery)

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-2255

CHERYL B KIRKPATRICK CRNA

Nurse Anesthetist, Certified Registered

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-6719

CAROLYN RUTH FERREE MD

Radiology

(Radiation Oncology)

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-2255

EDWARD GUS SHAW MD

Radiology

(Radiation Oncology)

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-2255

MARK CAUTHEN WILLINGHAM MD

Pathology

(Anatomic Pathology)

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-2255

BART ALAN FRIZZELL MD

Radiology

(Radiation Oncology)

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-2255

RAMON VELEZ MD

Internal Medicine

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-2255

PETER RIBACK LICHSTEIN MD

Internal Medicine

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-2255

MRS. DONNA LEA MYERS CRNA

Nurse Anesthetist, Certified Registered

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 713-2540

MRS. GWENDOLYN DALY ROARKE CRNA

Nurse Anesthetist, Certified Registered

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-3069

RODOLFO M PASCUAL MD

Internal Medicine

(Pulmonary Disease)

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-2255

JILL M OHAR MD

Internal Medicine

(Pulmonary Disease)

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-2255

WENDY COLLEEN MOORE MD

Internal Medicine

(Pulmonary Disease)

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157

(336) 716-2255

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598492092, enumerated as an "individual" on August 04, 2022.

The provider is located at MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 and the phone number is (336) 716-2011.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Aetna CVS Health, AmeriHealth Caritas Next and. Please consult your insurance carrier or call the provider to verify.

Sarah Waddle is affiliated with: NORTH CAROLINA BAPTIST HOSPITAL.