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John Lindquist

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3215 Battleground Ave, Greensboro, NC 27408-2603

PECOS Enrollment

Based on the most recent information from CMS, provider John Lindquist is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1073066429
Provider Type
Individual
Full Name
Lindquist, John
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
8/2/2016
Last Updated
8/28/2024

Contact Information

Practice Location

3215 Battleground Ave, Greensboro, NC 27408-2603

(336) 387-5020

Unlisted Fax

Mailing Location

3215 Battleground Ave, Greensboro, NC 27408-2603

(336) 387-5020

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-08987 North Carolina
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-08987 North Carolina
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer Arizona

John Lindquist

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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