Aileen Marie Mckernan, | |
5924 Seminole Trl, Suite 108, Barboursville, VA 22923-1505 | |
(434) 985-2198 | |
Not Available |
Full Name | Aileen Marie Mckernan |
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Gender | Female |
Speciality | Physical Therapist |
Location | 5924 Seminole Trl, Barboursville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487981122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305206297 (Virginia) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051 |
Mailing Address | Practice Location Address |
---|---|
Aileen Marie Mckernan, 226 Burnet St, Charlottesville, VA 22902-6196 Ph: (434) 981-2701 | Aileen Marie Mckernan, 5924 Seminole Trl, Suite 108, Barboursville, VA 22923-1505 Ph: (434) 985-2198 |
Kira Memery, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5928 Seminole Trl, Suite 103, Barboursville, VA 22923 Phone: 434-985-2198 Fax: 434-985-3227 | |
Martine Barre, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6420 Seminole Trl, L4, Barboursville, VA 22923 Phone: 434-939-9524 Fax: 434-939-9679 | |
Samuel Clayton Mackay, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5928 Seminole Trl Ste 103, Barboursville, VA 22923 Phone: 434-985-2198 |