Integrated Wound Care Virginia Pllc - Medicare Primary Care in Roanoke, VA

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Integrated Wound Care Virginia Pllc is a medicare enrolled primary clinic (General Practice) in Roanoke, Virginia. The current practice location for Integrated Wound Care Virginia Pllc is 324 King George Ave Sw, Roanoke, Virginia. For appointments, you can reach them via phone at (201) 870-1194. The mailing address for Integrated Wound Care Virginia Pllc is 492 Cedar Ln Ste 514, Teaneck, New Jersey and phone number is () -.

Integrated Wound Care Virginia Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1407498397. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (201) 870-1194.

Contact Information

Integrated Wound Care Virginia Pllc
324 King George Ave Sw
Roanoke
VA 24016-5213
(201) 870-1194
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameIntegrated Wound Care Virginia Pllc
SpecialityGeneral Practice
Location324 King George Ave Sw, Roanoke, Virginia
Authorized Official Name and PositionDiane Lusas (MEMBER)
Authorized Official Contact7324514318
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Integrated Wound Care Virginia Pllc
492 Cedar Ln Ste 514
Teaneck
NJ 07666-1713

Ph: () -		Integrated Wound Care Virginia Pllc
324 King George Ave Sw
Roanoke
VA 24016-5213

Ph: (201) 870-1194

NPI Details:

NPI Number1407498397
Provider Enumeration Date10/11/2019
Last Update Date10/11/2019

Medicare PECOS Information:

Medicare PECOS PAC ID2365875390
Medicare Enrollment IDO20191205002416

Medical Identifiers

Medical identifiers for Integrated Wound Care Virginia Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407498397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Integrated Wound Care Virginia Pllc acts as a billing entity for following providers:
Provider NameEleanor E Hess
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982607099
PECOS PAC ID: 0143297747
Enrollment ID: I20040914000192
Provider NameConnie Hylton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790878890
PECOS PAC ID: 2668473620
Enrollment ID: I20080402000896
Provider NameNicole L Arrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972735512
PECOS PAC ID: 8527106731
Enrollment ID: I20091109000558
Provider NameElizabeth D Saum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932497674
PECOS PAC ID: 9234308271
Enrollment ID: I20110809000629
Provider NameHelen A Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699049858
PECOS PAC ID: 1557524014
Enrollment ID: I20120519000116
Provider NameWhitney H Pugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235467572
PECOS PAC ID: 5890820948
Enrollment ID: I20130618000471
Provider NameStephanie Heaton King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962814376
PECOS PAC ID: 2264651454
Enrollment ID: I20140922000575
Provider NameStephen Carter
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1063478733
PECOS PAC ID: 6305944166
Enrollment ID: I20170817000205
Provider NameDana M De Los Santos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750815551
PECOS PAC ID: 4486913829
Enrollment ID: I20180827002058
Provider NameKrystyna Lee Portell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669954335
PECOS PAC ID: 4082958939
Enrollment ID: I20181203002929
Provider NameJessica Lynn Perkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679131056
PECOS PAC ID: 3577891415
Enrollment ID: I20190829003554
Provider NameMary Anne Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578125019
PECOS PAC ID: 1153651393
Enrollment ID: I20191030003314
Provider NameDiane Lusas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1730475658
PECOS PAC ID: 9032430640
Enrollment ID: I20191209001817
Provider NameGreta Crisco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386287175
PECOS PAC ID: 5799111357
Enrollment ID: I20200506003152
Provider NameIvey Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063932473
PECOS PAC ID: 8729205505
Enrollment ID: I20200508002144
Provider NameSusan Mara Cash
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1780695320
PECOS PAC ID: 8628072048
Enrollment ID: I20200901002368
Provider NameAshley Watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407385172
PECOS PAC ID: 6103246327
Enrollment ID: I20201008002699
Provider NameKatina Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023628534
PECOS PAC ID: 2668884040
Enrollment ID: I20201208002179
Provider NameJennylle Zanzi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265914360
PECOS PAC ID: 2860826856
Enrollment ID: I20210113002729
Provider NameErin Alouf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386283497
PECOS PAC ID: 0042625733
Enrollment ID: I20210210000749
Provider NameNicole D Calhoun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306481114
PECOS PAC ID: 7719377159
Enrollment ID: I20211129002537
Provider NameBethany Rock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235641630
PECOS PAC ID: 1850796137
Enrollment ID: I20220504000867
Provider NameChristine Moffett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164668224
PECOS PAC ID: 6901963123
Enrollment ID: I20220511000226
Provider NamePatrice R Brown-parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548901069
PECOS PAC ID: 4183002769
Enrollment ID: I20220815000303
Provider NameMarcus Yarbrough
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1588826283
PECOS PAC ID: 4587047501
Enrollment ID: I20220823003846
Provider NameNancy Ann Roe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861475204
PECOS PAC ID: 7416922075
Enrollment ID: I20220923002178
Provider NameLynne Mumaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407891310
PECOS PAC ID: 3779610035
Enrollment ID: I20230222001853
Provider NameAlisa Patrice Mcmillan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326765405
PECOS PAC ID: 7012373996
Enrollment ID: I20230518002299
Provider NameLaporscha Hardmon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073948816
PECOS PAC ID: 9234590746
Enrollment ID: I20231220002994

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.