Dr Kathy L Clarke, MD | |
5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | |
(276) 238-8876 | |
(276) 238-8886 |
Full Name | Dr Kathy L Clarke |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 5261 Carrollton Pike, Woodlawn, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972502938 | NPI | - | NPPES |
DN2980 | Other | GROUP PTAN | |
0101102706 | Other | VA | LC |
C10361 | Other | GROUP ORGANIZATION PTAN | |
261083931 | Other | TAX ID | |
1972502938 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101102706 (Virginia) | Primary |
Entity Name | Silver Health Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548291586 PECOS PAC ID: 5698668333 Enrollment ID: O20040205000751 |
Entity Name | State Of New Mexico |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578730230 PECOS PAC ID: 1052210689 Enrollment ID: O20110118000115 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathy L Clarke, MD 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 Ph: (276) 238-8876 | Dr Kathy L Clarke, MD 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 Ph: (276) 238-8876 |
Dr. Dan Carlton Worrell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Training Center Rd, Woodlawn, VA 24381 Phone: 276-728-5334 Fax: 276-728-2681 | |
Dr. Vanessa Jean Sturgill Fant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381 Phone: 276-238-8876 Fax: 276-238-8886 | |
Leigh Ann Richardson, FNPC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5261 Carrollton Pike Ste C, Woodlawn, VA 24381 Phone: 276-238-0911 | |
William Ward, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381 Phone: 276-238-8876 Fax: 276-238-8886 |