| The Center | |
|
400 E Burwell St Salem VA 24153-4338 | |
| (540) 387-3105 | |
| (540) 387-3653 |
| Full Name | The Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 400 E Burwell St, Salem, Virginia |
| Authorized Official Name and Position | Angie Deacon (INSURANCE COORDINATOR) |
| Authorized Official Contact | 5403873105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center 400 E Burwell St Salem VA 24153-4338 Ph: (540) 387-3105 | The Center 400 E Burwell St Salem VA 24153-4338 Ph: (540) 387-3105 |
| NPI Number | 1427066026 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 06/25/2009 |
| Medicare PECOS PAC ID | 9638160203 |
|---|---|
| Medicare Enrollment ID | O20040521000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427066026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mukesh P Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295743433 PECOS PAC ID: 2163546243 Enrollment ID: I20100825001152 |
| Provider Name | Himanshu S Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437167657 PECOS PAC ID: 4789675356 Enrollment ID: I20100826000515 |
| Provider Name | Annette G Tarpley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629370895 PECOS PAC ID: 3577746106 Enrollment ID: I20110321000007 |
| Provider Name | Jagdeep S Wander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851527592 PECOS PAC ID: 7719132687 Enrollment ID: I20130226000054 |
| Provider Name | Bridgette M Vest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396709754 PECOS PAC ID: 6103142112 Enrollment ID: I20150311000684 |
| Provider Name | Heather L Bayless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992172217 PECOS PAC ID: 9234431149 Enrollment ID: I20160111000063 |
| Provider Name | Debra L Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407371388 PECOS PAC ID: 2567721939 Enrollment ID: I20180109003566 |
| Provider Name | Beverly Gilraine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326000605 PECOS PAC ID: 3678820263 Enrollment ID: I20180730000203 |
| Provider Name | Allyson Kay Scruggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235606500 PECOS PAC ID: 2961748116 Enrollment ID: I20190109002700 |
| Provider Name | Maureen Olivia Murphy-ryan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427312867 PECOS PAC ID: 3971732553 Enrollment ID: I20190620001467 |
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