| Greenbrook Tms Lynchburg, Llc | |
|
2203 Graves Mill Rd Ste B Forest VA 24551-4297 | |
| (855) 998-4867 | |
| Not Available |
| Full Name | Greenbrook Tms Lynchburg, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2203 Graves Mill Rd Ste B, Forest, Virginia |
| Authorized Official Name and Position | Bryce Neumann (REGIONAL MANAGER) |
| Authorized Official Contact | 8559984867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbrook Tms Lynchburg, Llc 2203 Graves Mill Rd Ste B Forest VA 24551-4297 Ph: (855) 998-4867 | Greenbrook Tms Lynchburg, Llc 2203 Graves Mill Rd Ste B Forest VA 24551-4297 Ph: (855) 998-4867 |
| NPI Number | 1992212229 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 02/22/2018 |
| Medicare PECOS PAC ID | 4385908649 |
|---|---|
| Medicare Enrollment ID | O20180514002111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992212229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Arvin Sitaram Bhandari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407069008 PECOS PAC ID: 4284722984 Enrollment ID: I20071113000812 |
| Provider Name | Kenneth E Fore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407059637 PECOS PAC ID: 4688798655 Enrollment ID: I20100826001213 |
| Provider Name | Joseph Waheb Iskandar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215252143 PECOS PAC ID: 1557505823 Enrollment ID: I20150403000655 |
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