| Phornphan Moltane Homiak, PA-C | |
|
6035 Burke Centre Pkwy, Suite 120, Burke, VA 22015-3750 | |
| (703) 425-6010 | |
| (703) 425-7504 |
| Full Name | Phornphan Moltane Homiak |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 6035 Burke Centre Pkwy, Burke, 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 |
|---|---|---|---|
| 1942488374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 103810 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0110004437 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Stonewall Jackson Hospital | Lexington, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rockbridge Area Free Clinic | 2860626231 | 13 |
| Mailing Address | Practice Location Address |
|---|---|
| Phornphan Moltane Homiak, PA-C 6035 Burke Centre Pkwy, Suite 120, Burke, VA 22015-3750 Ph: (703) 425-6010 | Phornphan Moltane Homiak, PA-C 6035 Burke Centre Pkwy, Suite 120, Burke, VA 22015-3750 Ph: (703) 425-6010 |
Stephen Christopher Diggs, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5903 Oakland Park Dr, Burke, VA 22015 Phone: 703-622-6395 | |
Donna Faye Jennings, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9276 Old Keene Mill Rd, Burke, VA 22015 Phone: 571-516-3116 Fax: 571-516-3070 | |
Nathan J Mcgwin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6035 Burke Centre Pkwy Ste 120, Burke, VA 22015 Phone: 703-425-6010 | |
Ms. Luisa I. Carreiro Powe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5631 Burke Centre Pkwy, Burke, VA 22015 Phone: 703-250-5171 Fax: 703-250-5170 | |
Sarah Anne Crosswhite, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6035 Burke Centre Pkwy, Suite 120, Burke, VA 22015 Phone: 703-425-6010 | |
Miroslava Pavlova, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5631 Burke Centre Pkwy, Suite A, Burke, VA 22015 Phone: 703-250-5171 |