Audrea H Wynn Ii, MD | |
240 Shenandoah St, Woodstock, VA 22664-1051 | |
(540) 459-1354 | |
(540) 459-1355 |
Full Name | Audrea H Wynn Ii |
---|---|
Gender | Female |
Speciality | Orthopaedic Surgery |
Location | 240 Shenandoah St, Woodstock, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164409504 | NPI | - | NPPES |
010090440 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 0101043925 (Virginia) | Primary |
Entity Name | Winchester Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679711261 PECOS PAC ID: 0244134021 Enrollment ID: O20031124000061 |
Entity Name | Shenandoah Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952417735 PECOS PAC ID: 2466360375 Enrollment ID: O20040115001156 |
Entity Name | Page Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326040684 PECOS PAC ID: 8426951203 Enrollment ID: O20040129000420 |
Entity Name | Warren Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164442281 PECOS PAC ID: 2365330347 Enrollment ID: O20040310000516 |
Entity Name | Valley Physician Enterprise Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538316203 PECOS PAC ID: 9931268091 Enrollment ID: O20081104000278 |
Entity Name | Shenandoah Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407357015 PECOS PAC ID: 2466360375 Enrollment ID: O20180430001662 |
Mailing Address | Practice Location Address |
---|---|
Audrea H Wynn Ii, MD 240 Shenandoah St, Woodstock, VA 22664-1051 Ph: (540) 459-1354 | Audrea H Wynn Ii, MD 240 Shenandoah St, Woodstock, VA 22664-1051 Ph: (540) 459-1354 |
Mesfin Rese Shibeshi, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 759 S Main St Ste 200, Woodstock, VA 22664 Phone: 540-459-1354 Fax: 540-459-1355 |