Heather Kristen Willoughby, | |
125 Nationwide Dr, Lynchburg, VA 24502-4272 | |
(434) 200-3908 | |
Not Available |
Full Name | Heather Kristen Willoughby |
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Gender | Female |
Speciality | Internal Medicine |
Location | 125 Nationwide Dr, Lynchburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740973221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0024187241 (Virginia) | Primary |
Entity Name | Centra Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
Mailing Address | Practice Location Address |
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Heather Kristen Willoughby, 125 Nationwide Dr, Lynchburg, VA 24502-4272 Ph: (434) 200-3908 | Heather Kristen Willoughby, 125 Nationwide Dr, Lynchburg, VA 24502-4272 Ph: (434) 200-3908 |
Varsha Reddy Pothula Venkata, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 103 Clifton St, Lynchburg, VA 24501 Phone: 434-455-7100 Fax: 434-947-5909 | |
Dr. James D Cure, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Thomson Dr, Lynchburg, VA 24501 Phone: 434-947-3908 Fax: 434-947-5948 | |
Edward Vincent Bonyak, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2410 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-200-5252 Fax: 434-200-5252 | |
Sally- Ann Tracy Mcintosh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Landover Pl, Lynchburg, VA 24501 Phone: 434-947-3944 Fax: 866-617-8273 | |
Dr. John Newton Clore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Nationwide Dr, Internal Medicine, Lynchburg, VA 24502 Phone: 434-200-3908 | |
Dr. Evan D. Ownby, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2410 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-200-2712 Fax: 434-200-2851 | |
Dr. Samuel Omotoye, M.D., FRCPC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2410 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-200-2712 Fax: 434-200-2851 |