Dr William Charles Lentz, MD | |
5750 Falls Dr, Fort Wayne, IN 46804-7147 | |
(260) 436-8000 | |
(260) 432-5587 |
Full Name | Dr William Charles Lentz |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 5750 Falls Dr, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871693382 | NPI | - | NPPES |
P00071324 | Other | MEDICARE RAILROAD | |
01021532B | Other | IN | CSR LICENSE NUMBER |
4228241 | Other | AETNA | |
000000308071 | Other | BCBS | |
01021532A | Other | IN | STATE LICENSE NUMBER |
100466080 | Medicaid | IN | |
1517 | Other | PHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 01021532A (Indiana) | Primary |
207NS0135X | Dermatology - Procedural Dermatology | 01021532A (Indiana) | Secondary |
Entity Name | Fort Wayne Dermatology Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730277583 PECOS PAC ID: 0042299885 Enrollment ID: O20040715001094 |
Mailing Address | Practice Location Address |
---|---|
Dr William Charles Lentz, MD 5750 Falls Dr, Fort Wayne, IN 46804-7147 Ph: (260) 436-8000 | Dr William Charles Lentz, MD 5750 Falls Dr, Fort Wayne, IN 46804-7147 Ph: (260) 436-8000 |
Dr. Jennifer Lynn Hobbs, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5750 Falls Dr, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-432-5587 | |
Patrick M. Veerkamp, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7881 Carnegie Blvd, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-434-0929 | |
Dr. Alan R Gilbert, M. D. Dermatology Medicare: Medicare Enrolled Practice Location: 10620 Corporate Dr Ste A, Fort Wayne, IN 46845 Phone: 260-423-2567 Fax: 260-420-2415 | |
Dr. Diane Marie Hentz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5750 Falls Dr, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-432-5587 | |
David A Grekin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4020 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-423-2567 Fax: 260-420-2415 | |
Ms. Jacquelyn Ray Beemer, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5650 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-9696 | |
Dr. James Richard Kyler, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5750 Falls Dr, Fort Wayne, IN 46804 Phone: 260-436-8000 Fax: 260-432-5587 |