| Medical Associates Of Southwest Virginia | |
|
810 Hospital Dr Blacksburg VA 24060-7023 | |
| (540) 951-3311 | |
| (540) 552-8564 |
| Full Name | Medical Associates Of Southwest Virginia |
|---|---|
| Speciality | Internal Medicine |
| Location | 810 Hospital Dr, Blacksburg, Virginia |
| Authorized Official Name and Position | Jon Michael Payne (SENIOR PARTNER) |
| Authorized Official Contact | 5409511462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Southwest Virginia 810 Hospital Dr Blacksburg VA 24060-7023 Ph: (540) 951-3311 | Medical Associates Of Southwest Virginia 810 Hospital Dr Blacksburg VA 24060-7023 Ph: (540) 951-3311 |
| NPI Number | 1063445468 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 07/16/2010 |
| Medicare PECOS PAC ID | 1254304439 |
|---|---|
| Medicare Enrollment ID | O20040816001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063445468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gregory C Beato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740312230 PECOS PAC ID: 1557413564 Enrollment ID: I20090722000036 |
| Provider Name | Carol N Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437146818 PECOS PAC ID: 7618019118 Enrollment ID: I20100121000623 |
| Provider Name | Maggie C Belton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801023346 PECOS PAC ID: 8820254212 Enrollment ID: I20120731000123 |
| Provider Name | Daisy M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083954846 PECOS PAC ID: 4587802871 Enrollment ID: I20130528000476 |
| Provider Name | Nicole L Crowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437506789 PECOS PAC ID: 9537456447 Enrollment ID: I20160921000091 |
| Provider Name | Jordan B Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194457465 PECOS PAC ID: 5799169405 Enrollment ID: I20220830002032 |
| Provider Name | Kathryn C Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467139782 PECOS PAC ID: 1557724127 Enrollment ID: I20230830000032 |
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