| Patrick Eugene Lantz, MD | |
|
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
| (336) 716-2255 | |
| (336) 716-7595 |
| Full Name | Patrick Eugene Lantz |
|---|---|
| Gender | Male |
| Speciality | Pathology - Forensic Pathology |
| Location | Medical Center Blvd, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982688941 | NPI | - | NPPES |
| 6601481 | Medicaid | VA | |
| 64245 | Other | NC | MEDCOST |
| Q38646 | Medicaid | SC | |
| 18578 | Other | PARTNERS | |
| 50669 | Other | NC | BCBS |
| 8950669 | Medicaid | NC | |
| 7675356 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZF0201X | Pathology - Forensic Pathology | 38646 (North Carolina) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 38646 (North Carolina) | Secondary |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Eugene Lantz, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Patrick Eugene Lantz, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
Stacey O'neill, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4195 Fax: 336-716-3202 | |
Dr. Kimberly Ann Stogner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Department Of Pathology, Winston Salem, NC 27157 Phone: 336-716-2673 | |
Dr. Herbert Miles Schiller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2851 Kensington Rd, Winston Salem, NC 27106 Phone: 336-724-9607 | |
Graham Parks, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595 | |
Gregory Jay Pomper, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6368 | |
Dr. Cyrus Koresh Manavi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-7595 | |
Rebecca Montez Steele, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2115 |