Irma Mariana Santiago Lago, MD | |
102 Pomona Dr, Greensboro, NC 27407 | |
(336) 299-0000 | |
(336) 299-2335 |
Full Name | Irma Mariana Santiago Lago |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 102 Pomona Dr, Greensboro, 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 |
---|---|---|---|
1184866675 | NPI | - | NPPES |
85784842 | Medicaid | NM | |
NMA102941 | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD2012-0350 (New Mexico) | Secondary |
207Q00000X | Family Medicine | 2018-00102 (North Carolina) | Primary |
Entity Name | Hidalgo Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306843180 PECOS PAC ID: 4587572250 Enrollment ID: O20040303001246 |
Mailing Address | Practice Location Address |
---|---|
Irma Mariana Santiago Lago, MD 102 Pomona Dr, Greensboro, NC 27407-1616 Ph: (336) 299-0000 | Irma Mariana Santiago Lago, MD 102 Pomona Dr, Greensboro, NC 27407 Ph: (336) 299-0000 |
Dayarmys Piloto De La Paz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1903 Ashwood Ct, Suite A, Greensboro, NC 27455 Phone: 336-456-8188 | |
Dr. Graham Henry Erlacher Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 Lees Chapel Rd, Greensboro, NC 27455 Phone: 336-800-8958 Fax: 336-286-5583 | |
Eve A Knapp, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1581 Yanceyville St, Greensboro, NC 27405 Phone: 336-275-6445 Fax: 336-275-3012 | |
Simone Autry-lott, Family Medicine Medicare: Medicare Enrolled Practice Location: 301 E Wendover Ave Ste 300, Greensboro, NC 27401 Phone: 336-268-3380 | |
James S Kramer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1130 N Church St, Suite 100, Greensboro, NC 27401 Phone: 336-375-2300 Fax: 336-275-2314 | |
Dr. Robert Kenneth Beam, MD, PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 Lake Brandt Rd Unit B, Greensboro, NC 27455 Phone: 336-643-5800 Fax: 336-643-7474 | |
Joel H Heller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 603a Dolley Madison Rd, Greensboro, NC 27410 Phone: 336-294-6190 Fax: 336-294-6278 |