Pamela Reynolds, FNPC | |
2212 Wilborn Ave, South Boston, VA 24592-1630 | |
(434) 572-8921 | |
(434) 572-2063 |
Full Name | Pamela Reynolds |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2212 Wilborn Ave, South Boston, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932178019 | NPI | - | NPPES |
007791992 | Medicaid | VA | |
35419N | Other | VA | OPTIMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 024164721 (Virginia) | Primary |
Entity Name | Fuller-roberts Clinic, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407891815 PECOS PAC ID: 0749248342 Enrollment ID: O20041229000592 |
Mailing Address | Practice Location Address |
---|---|
Pamela Reynolds, FNPC 2212 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 572-8921 | Pamela Reynolds, FNPC 2212 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 572-8921 |
Whitney Heather Rae Wilborn, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879 Fax: 434-517-3989 | |
Amanda Igata, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aubreys Loop, South Boston, VA 24592 Phone: 434-517-3879 | |
Jon M Hughes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100 | |
Mrs. Michelle Bender Gibson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2232 Wilborn Ave, Suite D, Hematology Oncology Practice Of Southside Va, Pc, South Boston, VA 24592 Phone: 434-575-1212 Fax: 434-575-1130 | |
Carrie Rogers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-6565 | |
Jonette Talbott, MD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063 | |
Brandi S Thompson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2232 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8977 |