| Acare Medical Center,llc | |
|
125 Prosperity Dr Ste 800 Winchester VA 22602-5362 | |
| (540) 508-4853 | |
| Not Available |
| Full Name | Acare Medical Center,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Prosperity Dr Ste 800, Winchester, Virginia |
| Authorized Official Name and Position | Jordan Tran (OWNER) |
| Authorized Official Contact | 5405080651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acare Medical Center,llc 125 Prosperity Dr Ste 800 Winchester VA 22602-5362 Ph: (540) 508-4853 | Acare Medical Center,llc 125 Prosperity Dr Ste 800 Winchester VA 22602-5362 Ph: (540) 508-4853 |
| NPI Number | 1851877310 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 07/17/2018 |
| Medicare PECOS PAC ID | 4284967191 |
|---|---|
| Medicare Enrollment ID | O20190607002438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851877310 | NPI | - | NPPES |
| 05491830 | Other | VA | BCBS |
| 1629490172 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101256096 (Virginia) | Primary |
| Provider Name | Shadi Ayyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629490172 PECOS PAC ID: 3274750708 Enrollment ID: I20140807000380 |
| Provider Name | Jordan Le Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730417338 PECOS PAC ID: 7113232836 Enrollment ID: I20150810002652 |
Was Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3042 Valley Ave. Suite 110, Winchester, VA 22601 Phone: 540-450-2206 Fax: 540-450-1546 | |
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Brain And Body Regenerative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3051 Valley Ave Ste 108, Winchester, VA 22601 Phone: 540-678-1212 Fax: 540-678-1123 | |
Internal Medicine Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1829 W. Plaza Drive, Winchester, VA 22601 Phone: 540-667-6161 Fax: 540-722-2744 | |
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