Mountain Region Family Medicine Pc - Medicare Primary Care in Nickelsville, VA

Mountain Region Family Medicine Pc is a medicare enrolled primary clinic (Family Medicine) in Nickelsville, Virginia. The current practice location for Mountain Region Family Medicine Pc is 142 Meade Avenue, Nickelsville, Virginia. For appointments, you can reach them via phone at (276) 479-2201. The mailing address for Mountain Region Family Medicine Pc is 142 Meade Avenue, Nickelsville, Virginia and phone number is (276) 479-2201.

Mountain Region Family Medicine Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1467565804. 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 (276) 479-2201.

Contact Information

Mountain Region Family Medicine Pc
142 Meade Avenue
Nickelsville
VA 24271
(276) 479-2201
(276) 479-3314

Map and Direction


Primary Care Clinic Profile

Full NameMountain Region Family Medicine Pc
SpecialityFamily Medicine
Location142 Meade Avenue, Nickelsville, Virginia
Authorized Official Name and PositionWanda Y Trent (CORPORATE SECRETARY)
Authorized Official Contact4232243400
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mountain Region Family Medicine Pc
142 Meade Avenue
Nickelsville
VA 24271

Ph: (276) 479-2201
Mountain Region Family Medicine Pc
142 Meade Avenue
Nickelsville
VA 24271

Ph: (276) 479-2201

NPI Details:

NPI Number1467565804
Provider Enumeration Date08/17/2006
Last Update Date12/14/2017

Medicare PECOS Information:

Medicare PECOS PAC ID5890699961
Medicare Enrollment IDO20031120000676

Medical Identifiers

Medical identifiers for Mountain Region Family Medicine Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467565804NPI-NPPES
4175553MedicaidTN
037069OtherVABLUE CROSS BLUE SHIELD
265967710OtherTRICARE/CHAMPUS
5609933MedicaidVA
0040096OtherTNBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Mountain Region Family Medicine Pc acts as a billing entity for following providers:
Provider NameWesley V Eastridge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457313439
PECOS PAC ID: 5799689873
Enrollment ID: I20050103000884
Provider NameBruce S Vincent
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538110309
PECOS PAC ID: 8224088711
Enrollment ID: I20050122000097
Provider NameAndy Delwadia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629089784
PECOS PAC ID: 5496707598
Enrollment ID: I20050217000138
Provider NameAaron K Metcalf
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164582862
PECOS PAC ID: 2860588167
Enrollment ID: I20071018000110
Provider NameMichael P Kauzlarich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477539542
PECOS PAC ID: 0042380073
Enrollment ID: I20080603000581
Provider NameKevin D Misischia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356391098
PECOS PAC ID: 4789767807
Enrollment ID: I20100303000056
Provider NameEric Harman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588676456
PECOS PAC ID: 7315020435
Enrollment ID: I20100318000234
Provider NameGregory L Demotts
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891708111
PECOS PAC ID: 5799889747
Enrollment ID: I20100924000102
Provider NameRoger W Archer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508877846
PECOS PAC ID: 3779666896
Enrollment ID: I20100924000804
Provider NameRichard L Brandon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265443436
PECOS PAC ID: 1052494176
Enrollment ID: I20100927000967
Provider NameMonika Karakattu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881854594
PECOS PAC ID: 5698944072
Enrollment ID: I20130820000237
Provider NameKimberly D Roller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457544868
PECOS PAC ID: 0345306585
Enrollment ID: I20130829000309
Provider NameAmber Gourley
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1760814271
PECOS PAC ID: 0244468189
Enrollment ID: I20140122001323
Provider NameLeslie Brooke Mcnew-hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811303563
PECOS PAC ID: 3577784958
Enrollment ID: I20150428000441
Provider NameMonna J. Nelms
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205205317
PECOS PAC ID: 6901115799
Enrollment ID: I20151019000007
Provider NameSean Joseph Watson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912325127
PECOS PAC ID: 9234430828
Enrollment ID: I20151228000852
Provider NameCarli J Cooper
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861732968
PECOS PAC ID: 1658505375
Enrollment ID: I20160809000470
Provider NameAmanda M Malone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033537428
PECOS PAC ID: 0840557948
Enrollment ID: I20171128001124
Provider NameKatelyn M Spitler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952851784
PECOS PAC ID: 0446539084
Enrollment ID: I20180130002052
Provider NameBrent A Baker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003270968
PECOS PAC ID: 3971868076
Enrollment ID: I20180518002346
Provider NameZachary Linuel Sumpter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114380771
PECOS PAC ID: 9638434087
Enrollment ID: I20180605003450
Provider NameAlysen M Carter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194110346
PECOS PAC ID: 4880941814
Enrollment ID: I20181108002876

Reviews and Comments


Family Medicine in Nickelsville, VA


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.