Mr John Zachary Ruiz Lawrence, PA-C is a medicare enrolled "Physician Assistant" physician in Winston Salem, North Carolina. His current practice location is
3333 Silas Creek Pkwy, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 718-5000.
Mr John Zachary Ruiz Lawrence is licensed to practice in North Carolina (license number 0010-08871) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841760576.
Physician's Profile
Full Name | Mr John Zachary Ruiz Lawrence |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 3333 Silas Creek Pkwy, Winston Salem, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841760576
- Provider Enumeration Date: 11/26/2018
- Last Update Date: 03/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 9335482702
- Enrollment ID: I20210901001549
Medical Identifiers
Medical identifiers for Mr John Zachary Ruiz Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841760576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 0010-08871 (North Carolina) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 0010-08871 (North Carolina) | Secondary |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 0010-08871 (North Carolina) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 0010-08871 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0010-08871 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Zachary Ruiz Lawrence is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr John Zachary Ruiz Lawrence, PA-C Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 718-3550 | Mr John Zachary Ruiz Lawrence, PA-C 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (336) 718-5000 |
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