Tracy Lee Mathena, MD | |
600 W Ridge Rd, Wythe County Community Hospital, Wytheville, VA 24382-1044 | |
(276) 228-1775 | |
(276) 228-1776 |
Full Name | Tracy Lee Mathena |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 600 W Ridge Rd, Wytheville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386706018 | NPI | - | NPPES |
7100049800 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101240789 (Virginia) | Primary |
207R00000X | Internal Medicine | 0101240789 (Virginia) | Secondary |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
Entity Name | Apogee Medical Group Virginia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861660540 PECOS PAC ID: 0345310256 Enrollment ID: O20080604000498 |
Mailing Address | Practice Location Address |
---|---|
Tracy Lee Mathena, MD 685 Loretto Dr, Wytheville, VA 24382-2085 Ph: (272) 228-2216 | Tracy Lee Mathena, MD 600 W Ridge Rd, Wythe County Community Hospital, Wytheville, VA 24382-1044 Ph: (276) 228-1775 |
Mr. John Michael Harkless, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Holston Rd, Wytheville, VA 24382 Phone: 276-227-0200 Fax: 276-227-0202 | |
Mrs. Erin Leigh Dejesus, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 W Ridge Rd, Wytheville, VA 24382 Phone: 276-228-8686 | |
Chase King, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 245 Holston Rd Ste B, Wytheville, VA 24382 Phone: 276-227-0460 Fax: 276-227-0711 | |
Jennifer Lynn Bennett Grube, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 W Ridge Rd, Wytheville, VA 24382 Phone: 276-625-8828 Fax: 276-228-1776 | |
Chimer D Moore Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 360 Virginia Avenue, Wytheville, VA 24382 Phone: 276-228-2191 Fax: 276-228-2801 | |
Kari L Thomas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1375 W Ridge Rd, Wytheville, VA 24382 Phone: 276-228-8686 |