MEDICARE: SCOTT GREGORY SATKO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	9501403	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	390008187	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	5416690	OTHER	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1187F	OTHER	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	85976	OTHER	MEDCOST
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	27586	OTHER	PARTNERS
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962487397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT GREGORY SATKO MD

Provider Business Mailing Address
First Line	:	3333 BROOKVIEW HILLS BLVD STE 105
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-5661
Country	:	US
Telephone Number	:	336-768-2425
Fax Number	:	336-768-4915

Provider Business Practice Location Address
First Line	:	3333 BROOKVIEW HILLS BLVD STE 105
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-5661
Country	:	US
Telephone Number	:	336-768-2425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	08/23/2022

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Directions to “ SCOTT GREGORY SATKO MD” Practice Location

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