| Skyview Family Medicine Pc | |
|
7500 Iron Bar Ln Suite 100 Gainesville VA 20155-3603 | |
| (703) 753-1200 | |
| (703) 753-1118 |
| Full Name | Skyview Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7500 Iron Bar Ln, Gainesville, Virginia |
| Authorized Official Name and Position | Julia Bruce (OWNER/AUTHORIZED REP) |
| Authorized Official Contact | 7037531200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyview Family Medicine Pc 7500 Iron Bar Ln Suite 100 Gainesville VA 20155-3603 Ph: (703) 753-1200 | Skyview Family Medicine Pc 7500 Iron Bar Ln Suite 100 Gainesville VA 20155-3603 Ph: (703) 753-1200 |
| NPI Number | 1538400619 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 11/29/2016 |
| Medicare PECOS PAC ID | 2466698311 |
|---|---|
| Medicare Enrollment ID | O20130419000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538400619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Julia A Bruce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528086626 PECOS PAC ID: 5991892713 Enrollment ID: I20071025000638 |
| Provider Name | Michelle D Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558799551 PECOS PAC ID: 9436451275 Enrollment ID: I20160125000267 |
| Provider Name | Anne M Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962856435 PECOS PAC ID: 7214222546 Enrollment ID: I20160922002453 |
| Provider Name | Meggie A Keogh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346693322 PECOS PAC ID: 2466828306 Enrollment ID: I20221018003629 |
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