Teresa L Brennan, MD | |
2138 Langhorne Rd, Lynchburg, VA 24501-1400 | |
(434) 384-3047 | |
Not Available |
Full Name | Teresa L Brennan |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2138 Langhorne Rd, 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 |
---|---|---|---|
1538165345 | NPI | - | NPPES |
203639329 | Other | UNITED HEALTHCARE PROVIDE | |
203639329 | Other | PCHP PROVIDER NUMBER | |
329098 | Other | SOUTHERN HEALTH PROVIDER | |
010218942 | Other | VA PREMIER | |
186281 | Other | ANTHEM PROVIDER NUMBER | |
7024783 | Other | CIGNA PROVIDER NUMBER | |
010218942 | Medicaid | VA | |
91916 | Other | SENTARA/OPTIMA PROVIDER N | |
203639329003 | Other | TRICARE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101036819 (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 |
---|---|
Teresa L Brennan, MD 2138 Langhorne Rd, Lynchburg, VA 24501-1400 Ph: (434) 384-3047 | Teresa L Brennan, MD 2138 Langhorne Rd, Lynchburg, VA 24501-1400 Ph: (434) 384-3047 |
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 |