Marshall Family Medicine Llc | |
4197 Winchester Rd Marshall VA 20115-3252 | |
(703) 657-9612 | |
Not Available |
Full Name | Marshall Family Medicine Llc |
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Speciality | Family Medicine |
Location | 4197 Winchester Rd, Marshall, Virginia |
Authorized Official Name and Position | Thuy Lan Thi Olson (PHYSICIAN/OWNER) |
Authorized Official Contact | 5403648199 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marshall Family Medicine Llc 4197c Winchester Rd Marshall VA 20115-3252 Ph: (540) 364-8199 | Marshall Family Medicine Llc 4197 Winchester Rd Marshall VA 20115-3252 Ph: (703) 657-9612 |
NPI Number | 1023767902 |
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Provider Enumeration Date | 03/20/2022 |
Last Update Date | 07/18/2022 |
Medicare PECOS PAC ID | 8628450285 |
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Medicare Enrollment ID | O20220729001805 |
Identifier | Type | State | Issuer |
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1023767902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kevin L Olson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184600728 PECOS PAC ID: 9830345537 Enrollment ID: I20120813000496 |
Provider Name | Thuy Lan T Olson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518182377 PECOS PAC ID: 7618007717 Enrollment ID: I20130123000606 |
Countryside Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8255 E Main St, Marshall, VA 20115 Phone: 540-364-1581 Fax: 540-364-7314 | |
Novant Health Uva Health System Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4197c Winchester Rd, Marshall, VA 20115 Phone: 571-284-3460 |