| Blue Ridge Cardiology And Internal Medicine Pa | |
|
640 Parkwood Medical Park Elkin NC 28621-2487 | |
| (336) 526-7997 | |
| (336) 526-3537 |
| Full Name | Blue Ridge Cardiology And Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 Parkwood Medical Park, Elkin, North Carolina |
| Authorized Official Name and Position | Tomas Vybiral (CEO) |
| Authorized Official Contact | 3365267997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Cardiology And Internal Medicine Pa Po Box 249 Yadkinville NC 27055-0249 Ph: (336) 679-4963 | Blue Ridge Cardiology And Internal Medicine Pa 640 Parkwood Medical Park Elkin NC 28621-2487 Ph: (336) 526-7997 |
| NPI Number | 1851363311 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 08/23/2013 |
| Medicare PECOS PAC ID | 7719875707 |
|---|---|
| Medicare Enrollment ID | O20040310000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851363311 | NPI | - | NPPES |
| 0286K | Other | NC | BCBS OF NC GROUP NUMBER |
| 890286K | Medicaid | NC | |
| 21388 | Other | NC | MEDCOST GROUP NUMBER |
| Provider Name | Tamas Soos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700858404 PECOS PAC ID: 3274586714 Enrollment ID: I20050224000837 |
| Provider Name | Jan Kriska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104823327 PECOS PAC ID: 6002905486 Enrollment ID: I20091203000652 |
| Provider Name | Tomas Vybiral |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740285824 PECOS PAC ID: 9335037332 Enrollment ID: I20091203000693 |
| Provider Name | Vivian Seal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497825657 PECOS PAC ID: 7315077328 Enrollment ID: I20111025000250 |
| Provider Name | Crystal Easter Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275914285 PECOS PAC ID: 9335455898 Enrollment ID: I20150828000153 |
| Provider Name | Christina Marie Qualheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023636933 PECOS PAC ID: 6406255843 Enrollment ID: I20210604001049 |
| Provider Name | Sandy Hemric-bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205546207 PECOS PAC ID: 6002285210 Enrollment ID: I20221210000255 |
Darryl B. Rhyne, Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 660 Parkwood Medical Park, Elkin, NC 28621 Phone: 336-526-4300 Fax: 336-526-5350 | |
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