| Charlotte L Lantz, CFNP | |
|
1301 Elizabeth Pike, Elizabeth, WV 26143-0609 | |
| (304) 275-3301 | |
| (304) 275-4798 |
| Full Name | Charlotte L Lantz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 1301 Elizabeth Pike, Elizabeth, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245235969 | NPI | - | NPPES |
| 3810005405 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 36761 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Camden Clark Medical Center | Parkersburg, WV | Hospital |
| Minnie Hamilton Health System | Grantsville, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| Camden-clark Physician Corporation | 5294885661 | 254 |
| Wirt County Health Services Association, Inc | 7810806577 | 29 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Entity Name | Wirt County Health Services Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1043401730 PECOS PAC ID: 7810806577 Enrollment ID: O20080602000050 |
| Entity Name | Camden-clark Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte L Lantz, CFNP Po Box 609, Elizabeth, WV 26143-0609 Ph: (304) 275-3301 | Charlotte L Lantz, CFNP 1301 Elizabeth Pike, Elizabeth, WV 26143-0609 Ph: (304) 275-3301 |
Kimberly A Jividen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 Court St, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 | |
Amanda Lynch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 483 Court Street, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 | |
Sarah Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 483 Court St, Elizabeth, WV 26143 Phone: 304-275-3301 | |
Kaitlin Marie Davis, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 483 Court St, Elizabeth, WV 26143 Phone: 304-275-3301 | |
Mrs. Kenna Lea Wagner, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 Schoolview Street, Elizabeth, WV 26143 Phone: 304-275-3117 Fax: 304-275-7255 | |
Stacey N Mills, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483 Court Street, Elizabeth, WV 26143 Phone: 304-275-3301 Fax: 304-275-4798 |