BETHANY HUNT KASSOUF PA-C
NPI 1265752794
Physician Assistant - Medical in Winston Salem, NC

NPI Status: Active since June 07, 2010

Contact Information

MEDICAL CENTER BLVD
WAKE FOREST UNIVERSITY HEALTH SCIENCES
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2011

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  • Individual
  • Female
  • Years of Experience 16
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BETHANY KASSOUF

This page provides the complete NPI Profile along with additional information for Bethany Kassouf, a primary care provider established in Winston Salem, North Carolina with a medical specialization in Physician Assistant, focusing in medical and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1265752794 assigned on June 2010. The practitioner's primary taxonomy code is 363AM0700X with license number 0010-02330 (NC). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1265752794
Provider Name
BETHANY HUNT KASSOUF PA-C
Gender
Female
Entity Type
Individual
Location Address
MEDICAL CENTER BLVD WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEM, NC 27157
Location Phone
(336) 716-2011
Mailing Address
PO BOX 602658 WAKE FOREST UNIVERSITY HEALTH SCIENCES CHARLOTTE, NC 28260
Mailing Phone
(336) 716-2011
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
Yes
Enumeration Date
06-07-2010
Last Update Date
06-27-2014
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A primary care provider (PCP) like Bethany Kassouf 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 Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0010-02330
License State
NC

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2762342MEDICARE PIN (08)NC 
NCF889AMEDICARE PIN (08)NC 

Medicare Participation & PECOS Enrollment Status

Bethany Kassouf 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.

Bethany Kassouf is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients.

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: 9335271931

    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: I20100717000037

    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.

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. Bethany Kassouf 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 BETHANY HUNT KASSOUF 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.
1265752794
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251454718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 4 + 5 + 4 + 7 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1265752794 is valid because the calculated check digit 4 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.

NPI Name / Type Taxonomy Address
1811990815MR. GARY LEE RAY MSN, CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-2555
1548264310 PETER A VALEN MD
Individual
Internal Medicine (Rheumatology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1053393306MR. JAMES BOYD THOMAS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1962484212 MARTHA SCHELL SOOTS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-3069
1659352961MS. LINDA MARIE SANGIULIANO CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6701
1376524686 KAREN M HARP CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1962483297MRS. ALISA LAWSON STARBUCK RN NNP
Individual
Nurse Practitioner (Neonatal)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-6498
1477535599 RICHARD HENRY DEAN MD
Individual
Surgery (Vascular Surgery)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1366424483 CHERYL B KIRKPATRICK CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1386626349 CAROLYN RUTH FERREE MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1538141585 EDWARD GUS SHAW MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1447232400 MARK CAUTHEN WILLINGHAM MD
Individual
Pathology (Anatomic Pathology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1528040581 BART ALAN FRIZZELL MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1396727996 RAMON VELEZ MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1154303519 PETER RIBACK LICHSTEIN MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1497737894MRS. DONNA LEA MYERS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-2540
1114900354MRS. GWENDOLYN DALY ROARKE CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-3069
1346223484 RODOLFO M PASCUAL MD
Individual
Internal Medicine (Pulmonary Disease)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1376526400 JILL M OHAR MD
Individual
Internal Medicine (Pulmonary Disease)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1235112376 WENDY COLLEEN MOORE MD
Individual
Internal Medicine (Pulmonary Disease)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265752794, enumerated in the NPI registry as an "individual" on June 07, 2010

The provider is located at Medical Center Blvd Wake Forest University Health Sciences Winston Salem, Nc 27157 and the phone number is (336) 716-2011

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 16 years of experience.

The provider might be accepting Accepts: Aetna CVS Health, AmeriHealth Caritas Next,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients.

The practitioner is affiliated to the following hospital(s): NORTH CAROLINA BAPTIST HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 07, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.