Jennifer Lynn Bennett Grube, MD | |
600 W Ridge Rd, Wytheville, VA 24382-1044 | |
(276) 625-8828 | |
(276) 228-1776 |
Full Name | Jennifer Lynn Bennett Grube |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 28 Years |
Location | 600 W Ridge Rd, Wytheville, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427006444 | NPI | - | NPPES |
7100047940 | Medicaid | KY | |
1427006444 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101226165 (Virginia) | Secondary |
208M00000X | Hospitalist | 0101226165 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carilion Giles Community Hospital | Pearisburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carilion Giles Community Hospital | 3678670221 | 143 |
Carilion Healthcare Corporation | 5890607253 | 419 |
Entity Name | Carilion Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
Entity Name | Carilion Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
Entity Name | Carilion Rockbridge Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20040820000838 |
Entity Name | Carilion Giles Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Lynn Bennett Grube, MD 600 W Ridge Rd, Wytheville, VA 24382-1044 Ph: (276) 625-8828 | Jennifer Lynn Bennett Grube, MD 600 W Ridge Rd, Wytheville, VA 24382-1044 Ph: (276) 625-8828 |
Goutham Mandadi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 W Ridge Rd, Wytheville, VA 24382 Phone: 276-228-0200 |