Thelma Jane Pealer, NP | |
Clarksville Health And Rehab Center, 184 Buffalo Rd, Clarksville, VA 23927-1139 | |
(434) 206-3100 | |
(434) 374-4491 |
Full Name | Thelma Jane Pealer |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | Clarksville Health And Rehab Center, Clarksville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326370362 | NPI | - | NPPES |
1326370362 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 0024 168675 (Virginia) | Primary |
Entity Name | Legacy Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902149776 PECOS PAC ID: 0042458200 Enrollment ID: O20130529000542 |
Entity Name | M Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780056168 PECOS PAC ID: 7719278597 Enrollment ID: O20221109000050 |
Entity Name | Legacy Care Aco Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538844857 PECOS PAC ID: 3274996426 Enrollment ID: O20230906000290 |
Mailing Address | Practice Location Address |
---|---|
Thelma Jane Pealer, NP Clarksville Health And Rehab Center, 184 Buffalo Rd, Clarksville, VA 23927-1139 Ph: (434) 206-3100 | Thelma Jane Pealer, NP Clarksville Health And Rehab Center, 184 Buffalo Rd, Clarksville, VA 23927-1139 Ph: (434) 206-3100 |
Lisa Speede Mcclure, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 143 Industrial Pkwy, Clarksville, VA 23927 Phone: 434-572-6916 | |
Colton Ryan Thames, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 College St, Clarksville, VA 23927 Phone: 434-374-5344 | |
Vivia Brogden Whitfield, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 College St, Clarksville, VA 23927 Phone: 434-374-5344 Fax: 434-374-4814 | |
Jessica Ruff, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 College St, Clarksville, VA 23927 Phone: 434-374-5344 Fax: 434-374-4814 |