Marivi A Niebauer, MD | |
16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211-7664 | |
(276) 258-3733 | |
(276) 258-3734 |
Full Name | Marivi A Niebauer |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 23 Years |
Location | 16000 Johnston Memorial Dr, Abingdon, 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 |
---|---|---|---|
1275521239 | NPI | - | NPPES |
3334027 | Medicaid | TN | |
P01200682 | Other | VA | RAILROAD MEDICARE |
1275521239 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 39937 (Tennessee) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 0101249956 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franklin Woods Community Hospital | Johnson city, TN | Hospital |
Johnson City Medical Center | Johnson city, TN | Hospital |
Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
Unicoi County Hospital | Erwin, TN | Hospital |
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Ridge Medical Management Corporation | 9739099441 | 280 |
Blue Ridge Medical Management Corporation | 9739099441 | 280 |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Mailing Address | Practice Location Address |
---|---|
Marivi A Niebauer, MD 16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211-7664 Ph: (276) 258-3733 | Marivi A Niebauer, MD 16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211-7664 Ph: (276) 258-3733 |
Dr. Shaena Blevins, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr Ste 312, Abingdon, VA 24211 Phone: 276-258-3733 | |
Dr. Emily Simoson Shields, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211 Phone: 276-258-3733 Fax: 276-258-3734 | |
Vanessa A Camperlengo, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1587 Fax: 276-525-1609 | |
Dr. Monika Elizabeth Pelly, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 468 E Main St, Ste 300a, Abingdon, VA 24210 Phone: 276-608-4388 | |
Dr. Shaji Justus Puthuvel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 610 Campus Dr, Suite 110, Abingdon, VA 24210 Phone: 276-525-1442 |