| Berryville Medical Associates, Plc | |
|
115 S Church Street Berryville VA 22611-1369 | |
| (540) 955-4811 | |
| (540) 955-0976 |
| Full Name | Berryville Medical Associates, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 S Church Street, Berryville, Virginia |
| Authorized Official Name and Position | Sherif Z Kaiser (MD/OWNER) |
| Authorized Official Contact | 5409554811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berryville Medical Associates, Plc 136 Linden Dr Suite 104 Winchester VA 22601-6900 Ph: (540) 678-3588 | Berryville Medical Associates, Plc 115 S Church Street Berryville VA 22611-1369 Ph: (540) 955-4811 |
| NPI Number | 1508969726 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 05/10/2016 |
| Medicare PECOS PAC ID | 8729068804 |
|---|---|
| Medicare Enrollment ID | O20040720001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508969726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
| Provider Name | Madhur D Solanki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174585046 PECOS PAC ID: 5799720207 Enrollment ID: I20050624000775 |
| Provider Name | Sherif Kaiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093818213 PECOS PAC ID: 4880655174 Enrollment ID: I20071115000351 |
| Provider Name | Heather E Kavanagh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912285628 PECOS PAC ID: 2264606151 Enrollment ID: I20111110000166 |
| Provider Name | Ashley M Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457987489 PECOS PAC ID: 6608291018 Enrollment ID: I20200808000137 |
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