| Promedical Services, Inc. | |
|
30 Monica Blvd Lynchburg VA 24502-2269 | |
| (434) 515-1247 | |
| Not Available |
| Full Name | Promedical Services, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 30 Monica Blvd, Lynchburg, Virginia |
| Authorized Official Name and Position | Logan S Bosiger (PRACTICE MANAGER) |
| Authorized Official Contact | 4348512052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promedical Services, Inc. 1102 Commerce St # H Lynchburg VA 24504-1719 Ph: (434) 944-0304 | Promedical Services, Inc. 30 Monica Blvd Lynchburg VA 24502-2269 Ph: (434) 515-1247 |
| NPI Number | 1639563414 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 05/28/2019 |
| Medicare PECOS PAC ID | 2769741198 |
|---|---|
| Medicare Enrollment ID | O20190613002690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639563414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 0101102727 (Virginia) | Primary |
| Provider Name | Murat T Gezen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780668095 PECOS PAC ID: 9830180280 Enrollment ID: I20040524000396 |
| Provider Name | Burak Emin Gezen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215185582 PECOS PAC ID: 0446408991 Enrollment ID: I20131119000615 |
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