Mary Alice Shelton Putnam, MD | |
16244 Bennett Rd, Culpeper, VA 22701-4630 | |
(540) 825-5381 | |
(540) 829-0945 |
Full Name | Mary Alice Shelton Putnam |
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Gender | Female |
Speciality | Pediatrics |
Location | 16244 Bennett Rd, Culpeper, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093150617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 0101267325 (Virginia) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
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Mary Alice Shelton Putnam, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: () - | Mary Alice Shelton Putnam, MD 16244 Bennett Rd, Culpeper, VA 22701-4630 Ph: (540) 825-5381 |
Charles A. Stein, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15237 Creativity Dr, Culpeper, VA 22701 Phone: 540-321-4281 Fax: 540-321-4282 | |
Ostranda L. Williams, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 16244 Bennett Rd, Culpeper, VA 22701 Phone: 540-825-5381 Fax: 540-829-0945 | |
Stella A. Debrah-siriboe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 633 Sunset Ln, Suite A & C, Culpeper, VA 22701 Phone: 540-825-1191 Fax: 540-825-0587 | |
Lisa Harnum, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15237 Creativity Dr, Culpeper, VA 22701 Phone: 540-321-4281 Fax: 540-321-4282 | |
Susan J. Werner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 16244 Bennett Rd, Culpeper, VA 22701 Phone: 540-825-5381 Fax: 540-829-0945 | |
Jane Renee Hull, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 16244 Bennett Rd, Culpeper, VA 22701 Phone: 540-825-5381 Fax: 540-829-0945 |