Logan Woodall, | |
118 Oakwood Dr Ste B, Madison Heights, VA 24572-3001 | |
(434) 845-5641 | |
(434) 509-1695 |
Full Name | Logan Woodall |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 118 Oakwood Dr Ste B, Madison Heights, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942821491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305213619 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aegis Group Practice Llc | 5193036432 | 284 |
Provider Name | Aegis Group Practice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043966864 PECOS PAC ID: 5193036432 Enrollment ID: O20220603001114 |
Mailing Address | Practice Location Address |
---|---|
Logan Woodall, 20347 Timberlake Rd Ste B, Lynchburg, VA 24502-7352 Ph: (434) 845-5641 | Logan Woodall, 118 Oakwood Dr Ste B, Madison Heights, VA 24572-3001 Ph: (434) 845-5641 |
Delenn Nicole Fenton, Physical Therapist Medicare: Medicare Enrolled Practice Location: 118 Oakwood Dr Ste B, Madison Heights, VA 24572 Phone: 434-845-5641 Fax: 434-509-1695 | |
Tyler France, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 118 Oakwood Dr Ste B, Madison Heights, VA 24572 Phone: 434-845-5641 Fax: 434-509-1695 | |
Kevin M Cope, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 118 Oakwood Dr, Ste B, Madison Heights, VA 24572 Phone: 434-845-9053 Fax: 434-528-2788 | |
Juliana Ospina Mann, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 118 Oakwood Dr, Madison Heights, VA 24572 Phone: 434-845-5641 |