Mrs Cassidy Hensley, FNP-BC | |
7021 W Lee Hwy, Suite C, Rural Retreat, VA 24368-2933 | |
(866) 595-3662 | |
(276) 686-6046 |
Full Name | Mrs Cassidy Hensley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 7021 W Lee Hwy, Rural Retreat, 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 |
---|---|---|---|
1124443957 | NPI | - | NPPES |
VVD228B667 | Other | VA | PTAN |
DN2980 | Other | GROUP PTAN | |
1124443957 | Medicaid | VA | |
261083931 | Other | TAX ID | |
C10361 | Other | GROUP ORGANIZATION PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024171512 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wythe County Community Hospital | Wytheville, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wythe County Physician Practices Llc | 7517972789 | 19 |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
Entity Name | Wythe County Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780630327 PECOS PAC ID: 7517972789 Enrollment ID: O20060209000451 |
Entity Name | Alliance Xpress Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124415799 PECOS PAC ID: 5496063091 Enrollment ID: O20151001000326 |
Mailing Address | Practice Location Address |
---|---|
Mrs Cassidy Hensley, FNP-BC 7021 W Lee Hwy, Suite C, Rural Retreat, VA 24368-2933 Ph: (866) 595-3662 | Mrs Cassidy Hensley, FNP-BC 7021 W Lee Hwy, Suite C, Rural Retreat, VA 24368-2933 Ph: (866) 595-3662 |
Patricia Susan Price, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7021 W Lee Hwy Ste C, Rural Retreat, VA 24368 Phone: 423-302-6567 | |
Margaret Elizabeth Vines, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 445 Gienow Rd, Rural Retreat, VA 24368 Phone: 276-228-6499 Fax: 276-228-6145 | |
Laura E Skaggs, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Gienow Rd, Rural Retreat, VA 24368 Phone: 276-686-4007 Fax: 276-686-4614 |