Dr Paul G Vaccaro Jr, MD | |
200 8th St, Radford, VA 24141-2426 | |
(540) 639-5188 | |
(540) 639-9215 |
Full Name | Dr Paul G Vaccaro Jr |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 200 8th St, Radford, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144284365 | NPI | - | NPPES |
006713432 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101229097 (Virginia) | Primary |
Entity Name | Mountain Comprehensive Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417900242 PECOS PAC ID: 7618875873 Enrollment ID: O20031224000024 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul G Vaccaro Jr, MD 200 8th St, Radford, VA 24141-2426 Ph: (540) 639-5188 | Dr Paul G Vaccaro Jr, MD 200 8th St, Radford, VA 24141-2426 Ph: (540) 639-5188 |
Dr. Brigitte K Rotche, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 | |
Aaron Brownfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 202 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 | |
Breann Lyn Bailey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 202 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 | |
Dr. Paul G Mcelroy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 | |
Dr. Timothy S Walker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 | |
Dr. Zairha Gonzalez Snider, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 8th St, Radford, VA 24141 Phone: 540-639-5188 Fax: 540-639-9215 |