| Kimberly A Mizack, PA | |
|
1802 Braeburn Dr, Salem, VA 24153-7357 | |
| (540) 772-3530 | |
| (540) 776-2036 |
| Full Name | Kimberly A Mizack |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 1802 Braeburn Dr, Salem, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639251762 | NPI | - | NPPES |
| 1639251762 | Other | VA | BLACK LUNG |
| 1639251762 | Other | VA | INTOTAL |
| 540506332108 | Other | VA | TRICARE |
| 1639251762 | Other | VA | OPTIMA HEALTH PLAN |
| 1639251762 | Other | VA | MEDICAID QMB |
| P01535314 | Other | VA | RAILROAD MEDICARE |
| 1639251761 | Other | VA | AETNA |
| 1639251762 | Other | VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| 1639251762 | Other | VA | HUMANA MEDICARE |
| P00803340 | Other | VA | RAILROAD MEDICARE |
| 1639251762 | Other | VA | ANTHEM MEDIGAP |
| 1639251762 | Other | VA | UMWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002410 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lewisgale Medical Center | Salem, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis Gale Physicians Llc | 6507886231 | 187 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly A Mizack, PA 1802 Braeburn Dr, Salem, VA 24153-7357 Ph: (540) 772-3530 | Kimberly A Mizack, PA 1802 Braeburn Dr, Salem, VA 24153-7357 Ph: (540) 772-3530 |
Portia S Tomlinson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mr. Paul Ashley Yeaman, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-1057 | |
Mr. Andrew Thomas Tokarsky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mrs. Kaitlin Scott Daniels, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Knotbreak Rd, Salem, VA 24153 Phone: 540-444-5670 Fax: 540-444-5669 | |
Amy Betterton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Anna Coffey Morris, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Adam Lunnie, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-776-4970 |