Dr George C Wortley, MD | |
2252 Magnolia Ave, Buena Vista, VA 24416-3122 | |
(540) 261-7421 | |
(540) 261-1952 |
Full Name | Dr George C Wortley |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2252 Magnolia Ave, Buena Vista, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932108933 | NPI | - | NPPES |
01-01624 | Other | UNITED HEALTHCARE PROVIDE | |
44990 | Other | SENTARA/OPTIMA PROVIDER N | |
56-7043-8 | Other | VA PREMIER PROVIDER NUMBE | |
541457983 | Other | TRICARE PROVIDER NUMBER | |
56-1408-2 | Other | VA PREMIER PROVIDER NUMBE | |
165842 | Other | SOUTHERN HEALTH PROVIDER | |
186565 | Other | ANTHEM PROVIDER NUMBER | |
541457983 | Other | PCHP PROVIDER NUMBER | |
0056-1408-2 | Medicaid | VA | |
005670438 | Medicaid | VA | |
49611 | Other | MEDCOST PROVIDER NUMBER | |
700010624 | Other | CIGNA PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101041006 (Virginia) | Primary |
Entity Name | Dhhs Ihs Phoenix Area |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
Mailing Address | Practice Location Address |
---|---|
Dr George C Wortley, MD 2252 Magnolia Ave, Buena Vista, VA 24416-3122 Ph: (540) 261-7421 | Dr George C Wortley, MD 2252 Magnolia Ave, Buena Vista, VA 24416-3122 Ph: (540) 261-7421 |
Barbara Joy Trandel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2252 Magnolia Ave, Buena Vista, VA 24416 Phone: 540-261-7421 Fax: 540-261-1952 | |
Thomas Francis Hamilton, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2252 Magnolia Ave, Buena Vista, VA 24416 Phone: 540-261-7421 Fax: 540-261-1952 | |
Claire Wallace, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2054 Sycamore Ave, Buena Vista, VA 24416 Phone: 540-261-1315 Fax: 540-261-1314 |