| Central Virginia Psychiatry, Pllc | |
|
1049 Claymont Dr Lynchburg VA 24502-4481 | |
| (540) 356-3556 | |
| Not Available |
| Full Name | Central Virginia Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1049 Claymont Dr, Lynchburg, Virginia |
| Authorized Official Name and Position | George W Luedke (PRESIDENT) |
| Authorized Official Contact | 5403453556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Virginia Psychiatry, Pllc 1048 Terrace Dr Marion VA 24354-4138 Ph: (276) 783-1827 | Central Virginia Psychiatry, Pllc 1049 Claymont Dr Lynchburg VA 24502-4481 Ph: (540) 356-3556 |
| NPI Number | 1871903682 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 04/30/2018 |
| Medicare PECOS PAC ID | 0244456200 |
|---|---|
| Medicare Enrollment ID | O20140728001664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871903682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Virginia) | Primary |
| Provider Name | George W Luedke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194719641 PECOS PAC ID: 3870521313 Enrollment ID: I20050727000362 |
| Provider Name | Kenneth E Fore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407059637 PECOS PAC ID: 4688798655 Enrollment ID: I20100826001213 |
| Provider Name | Stephanie Michelle East |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487260832 PECOS PAC ID: 6305253998 Enrollment ID: I20210518001049 |
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