Individual ProviderLois WindesFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address105 W Stone Dr, Ste 3a, Kingsport, TN 37660-3365(423) 392-6200PECOS EnrollmentBased on the most recent information from CMS, provider Lois Windes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1215939277Provider TypeIndividualFull NameWindes, LoisCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/2/2005Last Updated10/21/2011Contact InformationPractice LocationPractice Address105 W Stone Dr, Ste 3a, Kingsport, TN 37660-3365Phone(423) 392-6200Fax(423) 392-6251Mailing LocationMailing AddressPO Box 9, Kingsport, TN 37662-0009PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD 17490TennesseeCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0101044646VirginiaProvider IdentifiersIDDescriptionIssuerID3022939DescriptionMedicaidIssuerUnlistedTennesseeID5651484DescriptionMedicaidIssuerUnlistedVirginia