| Blue Ridge Neuropsychological Associates, P.a. | |
|
6 Herman Avenue Ext Suite A Asheville NC 28803-9106 | |
| (828) 684-9123 | |
| Not Available |
| Full Name | Blue Ridge Neuropsychological Associates, P.a. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6 Herman Avenue Ext, Asheville, North Carolina |
| Authorized Official Name and Position | Mark Randolph Hill (OWNER/PRESIDENT) |
| Authorized Official Contact | 8286849123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Neuropsychological Associates, P.a. 6 Herman Avenue Ext Suite A Asheville NC 28803-9106 Ph: () - | Blue Ridge Neuropsychological Associates, P.a. 6 Herman Avenue Ext Suite A Asheville NC 28803-9106 Ph: (828) 684-9123 |
| NPI Number | 1881795144 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Medicare PECOS PAC ID | 2466589700 |
|---|---|
| Medicare Enrollment ID | O20100419000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881795144 | NPI | - | NPPES |
| 013WY | Other | NC | BCBS |
| 6000174 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Mark R Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194703066 PECOS PAC ID: 0143357491 Enrollment ID: I20100419000801 |
| Provider Name | Cynthia A Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215049424 PECOS PAC ID: 2062476286 Enrollment ID: I20151104002474 |
| Provider Name | Michael A Garofano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205900206 PECOS PAC ID: 8820167505 Enrollment ID: I20170215000796 |
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