| Brain And Body Regenerative Medicine | |
|
3051 Valley Ave Ste 108 Winchester VA 22601-2658 | |
| (540) 678-1212 | |
| (540) 678-1123 |
| Full Name | Brain And Body Regenerative Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 3051 Valley Ave Ste 108, Winchester, Virginia |
| Authorized Official Name and Position | Evan Riggleman (OWNER) |
| Authorized Official Contact | 5406781212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain And Body Regenerative Medicine 3051 Valley Ave Ste 108 Winchester VA 22601-2658 Ph: (540) 678-1212 | Brain And Body Regenerative Medicine 3051 Valley Ave Ste 108 Winchester VA 22601-2658 Ph: (540) 678-1212 |
| NPI Number | 1073143228 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 01/16/2020 |
| Medicare PECOS PAC ID | 1456788447 |
|---|---|
| Medicare Enrollment ID | O20200304001755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073143228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kaitlyn E Bethune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831579655 PECOS PAC ID: 2860707890 Enrollment ID: I20171115002257 |
| Provider Name | Evan C Riggleman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043560592 PECOS PAC ID: 8426206004 Enrollment ID: I20200304002632 |
| Provider Name | Kadijatu Kakay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992051270 PECOS PAC ID: 3274862479 Enrollment ID: I20201014001238 |
| Provider Name | Averie Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649644642 PECOS PAC ID: 3971893470 Enrollment ID: I20210125001405 |
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 | |
Winchester Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1330 Amherst St, Winchester, VA 22601 Phone: 304-263-4999 Fax: 304-263-0984 | |
Apple Blossom Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2913 Valley Ave, Suite 200, Winchester, VA 22601 Phone: 540-678-0792 Fax: 540-678-0795 | |
Winchester Med Cons Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Linden Dr, Suite 152, Winchester, VA 22601 Phone: 540-667-0744 Fax: 540-665-8158 | |
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 | |
Berryville Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1824 W Plaza Dr, Winchester, VA 22601 Phone: 540-723-6660 Fax: 540-723-6688 |