Mrs Stacy Johnson Gambill, FNP | |
5261 Carrollton Pike, Suite C, Galax, VA 24381-3664 | |
(276) 238-0911 | |
(276) 238-0912 |
Full Name | Mrs Stacy Johnson Gambill |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 5261 Carrollton Pike, Galax, 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 |
---|---|---|---|
1457436008 | NPI | - | NPPES |
VV9055B667 | Other | VA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024167387 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alleghany County Memorial Hospital | Sparta, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Geriatric Solutions Pllc | 3072940279 | 60 |
Premier Geriatric Solutions Pllc | 3072940279 | 60 |
Hospitalist Medicine Physicians Of Washington Tacoma Pllc | 5395126270 | 34 |
Pai Participant 29, P.c. | 6002216215 | 4 |
Entity Name | Premier Geriatric Solutions Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568093672 PECOS PAC ID: 3072940279 Enrollment ID: O20200228001800 |
Entity Name | Pai Participant 1 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934 |
Entity Name | Hospitalist Medicine Physicians Of Washington Tacoma Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740911585 PECOS PAC ID: 5395126270 Enrollment ID: O20240223002812 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stacy Johnson Gambill, FNP 190 Warden Rd, Sparta, NC 28675-9093 Ph: () - | Mrs Stacy Johnson Gambill, FNP 5261 Carrollton Pike, Suite C, Galax, VA 24381-3664 Ph: (276) 238-0911 |
Linda Marie Radford-goad, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Doctors Park, Galax, VA 24333 Phone: 276-236-2947 | |
Mrs. Ashley Nicole Underwood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 199 Hospital Dr, Galax, VA 24333 Phone: 276-236-5181 Fax: 276-236-3297 | |
Sarah E. Simerly, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Hospital Dr, Galax, VA 24333 Phone: 276-236-8181 | |
Carrie Sizemore Hall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Cranberry Rd Ste 200a, Galax, VA 24333 Phone: 276-236-9953 | |
Meagan Underwood Crowder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Doctors Park, Galax, VA 24333 Phone: 276-236-5161 | |
Jenell Joines, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Maroon Tide Dr, Galax, VA 24333 Phone: 888-908-4788 | |
Heather Richardson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Cranberry Rd Ste 200a, Galax, VA 24333 Phone: 276-236-9953 Fax: 276-236-6084 |