B's Integrated Clinic, Pllc | |
1291 S Boston Rd Danville VA 24540-5032 | |
(434) 251-9210 | |
Not Available |
Full Name | B's Integrated Clinic, Pllc |
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Speciality | Clinic/Center |
Location | 1291 S Boston Rd, Danville, Virginia |
Authorized Official Name and Position | Marilyn Wade-foster (NP-C) |
Authorized Official Contact | 4342519210 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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B's Integrated Clinic, Pllc 1291 S Boston Rd Danville VA 24540-5032 Ph: (434) 251-9210 | B's Integrated Clinic, Pllc 1291 S Boston Rd Danville VA 24540-5032 Ph: (434) 251-9210 |
NPI Number | 1912537440 |
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Provider Enumeration Date | 01/23/2020 |
Last Update Date | 02/24/2022 |
Medicare PECOS PAC ID | 5496177610 |
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Medicare Enrollment ID | O20200617000266 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912537440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QP3300X | Clinic/center - Pain | (* (Not Available)) | Primary |
Provider Name | Marilyn Wade-foster |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1538436092 PECOS PAC ID: 7618144759 Enrollment ID: I20200617000371 |
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