Cornelis Kirk Craye, MD | |
1111 S Jefferson St Ste B, Roanoke, VA 24016-4724 | |
(540) 345-3556 | |
(540) 342-2193 |
Full Name | Cornelis Kirk Craye |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1111 S Jefferson St Ste B, Roanoke, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083680508 | NPI | - | NPPES |
2999377 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35.09333 (Ohio) | Secondary |
207R00000X | Internal Medicine | 0101237947 (Virginia) | Primary |
Entity Name | Pai Participant 1 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934 |
Mailing Address | Practice Location Address |
---|---|
Cornelis Kirk Craye, MD Po Box 8310, Roanoke, VA 24014-0310 Ph: (540) 345-3556 | Cornelis Kirk Craye, MD 1111 S Jefferson St Ste B, Roanoke, VA 24016-4724 Ph: (540) 345-3556 |
Dr. Jed David Gonzalo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 | |
Dr. Adel M Salama, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111b S Jefferson St, Roanoke, VA 24016 Phone: 540-342-1007 Fax: 540-345-4643 | |
Dr. Daniel Frank Pauly, , M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014 Phone: 540-982-8204 | |
Joshua Gabriel Gazo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 | |
Joseph L. Austin, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 127 Mcclanahan St Sw, Suite 300, Roanoke, VA 24014 Phone: 540-982-8204 Fax: 540-224-1059 | |
Ali M Yahya, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2213 Stanley Ave Se, Roanoke, VA 24014 Phone: 571-338-9463 | |
Umar Sofi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 300, Roanoke, VA 24014 Phone: 540-985-8505 Fax: 540-344-3313 |