| Lucas Alan Dietrich, PA | |
|
3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 | |
| (336) 765-0383 | |
| Not Available |
| Full Name | Lucas Alan Dietrich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 3001 Lyndhurst Ave, Winston Salem, 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 |
|---|---|---|---|
| 1689918278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3555 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | 0010-08128 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Medical Group Inc | 1153234893 | 2023 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Alan Dietrich, PA 3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 Ph: (336) 765-0383 | Lucas Alan Dietrich, PA 3001 Lyndhurst Ave, Winston Salem, NC 27103-4007 Ph: (336) 765-0383 |
Mr. Kamron York Benfield, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4838 Fax: 336-716-7771 | |
Andrea Whitley Peyton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
Seth Ryan Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 | |
Bonnie Lynn Gaudin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Emergency Department, Winston Salem, NC 27103 Phone: 336-275-3325 Fax: 336-275-5346 | |
Ralph Denton Updyke Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622 | |
Richard W Trombley, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4410 Providence Ln, Winston Salem, NC 27106 Phone: 615-778-4066 | |
Mr. Kyle Timothy Roberts, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7080 Fax: 336-718-9622 |