| Valley Geropsychiatry Llc | |
|
2123b Crystal Spring Ave Sw Roanoke VA 24014-2413 | |
| (540) 266-3136 | |
| Not Available |
| Full Name | Valley Geropsychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2123b Crystal Spring Ave Sw, Roanoke, Virginia |
| Authorized Official Name and Position | David Trinkle (OWNER) |
| Authorized Official Contact | 5402661336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Geropsychiatry Llc 2123b Crystal Spring Ave Sw Roanoke VA 24014-2413 Ph: () - | Valley Geropsychiatry Llc 2123b Crystal Spring Ave Sw Roanoke VA 24014-2413 Ph: (540) 266-3136 |
| NPI Number | 1720574569 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 08/19/2022 |
| Certification Date | 08/19/2022 |
| Medicare PECOS PAC ID | 7911257183 |
|---|---|
| Medicare Enrollment ID | O20180910000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720574569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | David B Trinkle |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1598749632 PECOS PAC ID: 6901798412 Enrollment ID: I20040329000949 |
| Provider Name | Adam Mullet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609492594 PECOS PAC ID: 3375962319 Enrollment ID: I20240506003845 |
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