| Lentz Pediatrics, PLC | |
|
10777 Highway 412 W Lexington TN 38351-6283 | |
| (731) 968-5558 | |
| (731) 968-5567 |
| Full Name | Lentz Pediatrics, PLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 10777 Highway 412 W, Lexington, Tennessee |
| Authorized Official Name and Position | Jonathan D Lentz (PHYSICIAN) |
| Authorized Official Contact | 7316649040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lentz Pediatrics, PLC 19 Security Dr Jackson TN 38305-3626 Ph: (731) 664-9040 | Lentz Pediatrics, PLC 10777 Highway 412 W Lexington TN 38351-6283 Ph: (731) 968-5558 |
| NPI Number | 1467637611 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Medicare PECOS PAC ID | 1254415334 |
|---|---|
| Medicare Enrollment ID | O20080227000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467637611 | NPI | - | NPPES |
| 1503415 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
| 208000000X | Pediatrics | 31704 (Tennessee) | Secondary |
| Provider Name | Jonathan D Lentz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649218603 PECOS PAC ID: 1658385950 Enrollment ID: I20060125000875 |
| Provider Name | Ashley K Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174851844 PECOS PAC ID: 0840476933 Enrollment ID: I20110526000200 |
| Provider Name | Kendra D Grissom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487190112 PECOS PAC ID: 6608151840 Enrollment ID: I20170330000729 |
Family First Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 W Church St, Lexington, TN 38351 Phone: 731-234-3618 |
Lexington Family Physicians Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Church St, Lexington, TN 38351 Phone: 731-968-3646 Fax: 731-968-1705 |
Lexington Family Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Church St, Lexington, TN 38351 Phone: 731-968-3646 Fax: 731-968-1705 |
Leah B. Gilliam, MD. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 83 S Main St, Lexington, TN 38351 Phone: 731-614-7957 |
Fast Pace Medical Clinic PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 W Church St, Lexington, TN 38351 Phone: 731-249-9300 Fax: 731-249-9301 |
Springer Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16615 Highway 104 N, B, Lexington, TN 38351 Phone: 731-968-0660 Fax: 731-968-0007 |