Kendall Elaine Fedorko-overby, DO | |
1900 Thomson Dr, Lynchburg, VA 24501-1009 | |
(434) 947-6776 | |
Not Available |
Full Name | Kendall Elaine Fedorko-overby |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1900 Thomson 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 |
---|---|---|---|
1609049535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0102049917 (Virginia) | Primary |
Entity Name | Johnson Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316926538 PECOS PAC ID: 9537060413 Enrollment ID: O20040709000047 |
Entity Name | Johnson Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508231036 PECOS PAC ID: 9537060413 Enrollment ID: O20161128001555 |
Entity Name | Johnson Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821212481 PECOS PAC ID: 9537060413 Enrollment ID: O20180308000764 |
Entity Name | Johnson Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881102655 PECOS PAC ID: 9537060413 Enrollment ID: O20181026000591 |
Mailing Address | Practice Location Address |
---|---|
Kendall Elaine Fedorko-overby, DO 1900 Thomson Dr, Lynchburg, VA 24501-1009 Ph: (434) 947-6776 | Kendall Elaine Fedorko-overby, DO 1900 Thomson Dr, Lynchburg, VA 24501-1009 Ph: (434) 947-6776 |
Morgan S Mandeville, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Richeson Dr, Lynchburg, VA 24501 Phone: 434-385-7776 Fax: 434-385-5846 | |
John B Arnold, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1212 Mcconville Road, Lynchburg, VA 24502 Phone: 434-237-8886 Fax: 434-239-6807 | |
Denise L Fenton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1212 Mcconville Road, Lynchburg, VA 24502 Phone: 434-237-8886 Fax: 434-239-6807 | |
Robert Skyler Mccurley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 121 Mcconville Road, Lynchburg, VA 24502 Phone: 434-237-8886 Fax: 434-239-6807 | |
Dr. Richard C Morris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Richeson Dr, Lynchburg, VA 24501 Phone: 434-385-7776 Fax: 434-385-5846 | |
Bradley S Malcolm, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Richeson Dr, Lynchburg, VA 24501 Phone: 434-385-7776 Fax: 434-385-5846 | |
Raul Barroso, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2137 Lakeside Dr, Lynchburg, VA 24501 Phone: 434-404-7200 Fax: 434-385-8616 |