Dr Eleanor Sue Cantrell, MD | |
134 Roberts Ave Sw, Wise, VA 24293-5800 | |
(276) 328-8000 | |
(276) 376-1020 |
Full Name | Dr Eleanor Sue Cantrell |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 134 Roberts Ave Sw, Wise, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407823693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101036912 (Virginia) | Primary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 0101036912 (Virginia) | Secondary |
Entity Name | Frontier Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720147408 PECOS PAC ID: 2860302320 Enrollment ID: O20040206000424 |
Mailing Address | Practice Location Address |
---|---|
Dr Eleanor Sue Cantrell, MD 134 Roberts Ave Sw, Wise, VA 24293-5800 Ph: (276) 328-8000 | Dr Eleanor Sue Cantrell, MD 134 Roberts Ave Sw, Wise, VA 24293-5800 Ph: (276) 328-8000 |
Ashley Reba Bevins, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 716 Spring St, Suite 204, Wise, VA 24293 Phone: 276-328-8910 Fax: 276-328-4318 | |
Dr. Latisha Mechele Hilton, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 716 Spring Street, Suite 204, Wise, VA 24293 Phone: 276-329-8910 Fax: 276-328-4318 | |
Dr. Tiffani Maria Nichols, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 716 Spring St, Suite 204, Wise, VA 24293 Phone: 276-328-8910 Fax: 276-328-4318 | |
Chritsopher T. Starnes, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 143 Woodland Dr Sw, Wise, VA 24293 Phone: 276-365-8071 Fax: 276-221-1529 |