Timothy Edward Lietz, MD | |
501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | |
(704) 319-5821 | |
(704) 377-2687 |
Full Name | Timothy Edward Lietz |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 30 Years |
Location | 501 S Sharon Amity Rd Ste 300, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205889292 | NPI | - | NPPES |
89-5191A | Medicaid | NC | |
N00898 | Medicaid | SC | |
930067615 | Other | NC | RR MEDICARE |
5191A | Other | NC | BCBSNC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 94-00898 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Matthews Medical Center | Matthews, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-atlantic Emergency Medical Associates Pllc | 4880686823 | 68 |
Entity Name | Mid-atlantic Emergency Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073562757 PECOS PAC ID: 4880686823 Enrollment ID: O20040331000927 |
Mailing Address | Practice Location Address |
---|---|
Timothy Edward Lietz, MD 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 Ph: (704) 319-5821 | Timothy Edward Lietz, MD 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 Ph: (704) 319-5821 |
Chelsea Kolshak, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658 | |
Jacob Leedekerken, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 | |
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047 | |
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687 | |
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171 | |
Michael Stephen Merrill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 Phone: 704-377-2424 Fax: 704-377-2687 | |
Brian Zachary Hedges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047 |