| Country Doctor, Ltd | |
|
35070 Germanna Heights Dr Ste A Locust Grove VA 22508-3108 | |
| (540) 423-1788 | |
| (540) 423-1755 |
| Full Name | Country Doctor, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 35070 Germanna Heights Dr, Locust Grove, Virginia |
| Authorized Official Name and Position | Stephanie H. Campau (OFFICE MANAGER) |
| Authorized Official Contact | 5404231788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Doctor, Ltd 35070 Germanna Heights Dr Ste A Locust Grove VA 22508-3108 Ph: (540) 423-1788 | Country Doctor, Ltd 35070 Germanna Heights Dr Ste A Locust Grove VA 22508-3108 Ph: (540) 423-1788 |
| NPI Number | 1467654574 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 09/25/2014 |
| Medicare PECOS PAC ID | 5294836680 |
|---|---|
| Medicare Enrollment ID | O20070730000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467654574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert H Prasse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992802227 PECOS PAC ID: 0143293019 Enrollment ID: I20040818000645 |
Locust Grove Dental Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35070 Germanna Heights Dr Ste B, Locust Grove, VA 22508 Phone: 540-399-9841 |