Beth Winifred Lorenz, PA-C is a
Physician Assistant based in Moultonborough, New Hampshire. Beth Winifred Lorenz is licensed to practice in New Hampshire (license number 0210P) and her current practice location is
984 Whittier Highway, Moultonborough, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(603) 476-2216.
NPI number for Beth Winifred Lorenz is 1124027396 and her current mailing address is Po Box 655, Moultonboro, New Hampshire. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124027396.
Provider's Profile
| Full Name | Beth Winifred Lorenz |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 984 Whittier Highway, Moultonborough, New Hampshire |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124027396
- Provider Enumeration Date: 07/19/2005
- Last Update Date: 10/22/2012
Medical Identifiers
Medical identifiers for Beth Winifred Lorenz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124027396 | NPI | - | NPPES |
| 30331636 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0210P (New Hampshire) | 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. Beth Winifred Lorenz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Beth Winifred Lorenz, PA-C
Po Box 655,
Moultonboro, NH 03254-0655
Ph: (603) 253-3178 | Beth Winifred Lorenz, PA-C
984 Whittier Highway,
Moultonborough, NH 03254
Ph: (603) 476-2216 |
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