| Paul A Detrana, NP | |
|
78 Medical Center Dr, Fishersville, VA 22939-2332 | |
| (540) 932-4060 | |
| (540) 932-4068 |
| Full Name | Paul A Detrana |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 78 Medical Center Dr, Fishersville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891230108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024174260 (Virginia) | Primary |
| Entity Name | Augusta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245489590 PECOS PAC ID: 3678632544 Enrollment ID: O20081106000590 |
| Entity Name | Coastal Medical And Psychiatric Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134460132 PECOS PAC ID: 4183948060 Enrollment ID: O20150124000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A Detrana, NP Po Box 388, Fishersville, VA 22939-0388 Ph: () - | Paul A Detrana, NP 78 Medical Center Dr, Fishersville, VA 22939-2332 Ph: (540) 932-4060 |
Marsha A Almarode, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51 Ivy Ridge Ln, Fishersville, VA 22939 Phone: 540-245-7262 Fax: 540-245-7054 | |
Mrs. Amanda Irene Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51 Ivy Ridge Ln, Fishersville, VA 22939 Phone: 540-245-7262 Fax: 540-245-7054 | |
Melody King, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39 Beam Ln, Fishersville, VA 22939 Phone: 540-213-7750 | |
Mr. John Curtis Geary, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-332-4000 | |
Esther Fontenot Barrios, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57 N Medical Park Dr Ste 101, Fishersville, VA 22939 Phone: 540-245-7520 Fax: 540-245-7521 | |
Lori L Ball, PMHCNS/FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 79 N Medical Park Dr, Fishersville, VA 22939 Phone: 540-213-2525 Fax: 540-213-2555 | |
Emily B Williams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70 Medical Center Cir Ste 302, Fishersville, VA 22939 Phone: 540-221-7350 Fax: 540-221-7359 |