| Smith Mountain Lake Family Practice Pc | |
|
70 Westwind Rd Moneta VA 24121-3726 | |
| (540) 721-7333 | |
| (540) 721-4971 |
| Full Name | Smith Mountain Lake Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 70 Westwind Rd, Moneta, Virginia |
| Authorized Official Name and Position | Steven T Lewis (PRESIDENT) |
| Authorized Official Contact | 5407217333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Mountain Lake Family Practice Pc 70 Westwind Rd Moneta VA 24121-3726 Ph: (540) 721-7333 | Smith Mountain Lake Family Practice Pc 70 Westwind Rd Moneta VA 24121-3726 Ph: (540) 721-7333 |
| NPI Number | 1023237021 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 05/21/2008 |
| Medicare PECOS PAC ID | 4789679291 |
|---|---|
| Medicare Enrollment ID | O20040608000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023237021 | NPI | - | NPPES |
| DC1900 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
| Provider Name | Tiffany A Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255318978 PECOS PAC ID: 1759294531 Enrollment ID: I20031111000088 |
| Provider Name | Susan E Funk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841273331 PECOS PAC ID: 1052303187 Enrollment ID: I20040331000289 |
| Provider Name | Steven T Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831183672 PECOS PAC ID: 2567445091 Enrollment ID: I20040608000094 |
Henry Burgess, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6655 Scruggs Rd, Moneta, VA 24121 Phone: 540-719-1685 Fax: 540-719-1687 | |
Village Family Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4830 Rucker Rd, Moneta, VA 24121 Phone: 540-297-7181 Fax: 540-297-6145 | |
Ultra Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1039 Mayberry Crossing Dr Ste A&b, Moneta, VA 24121 Phone: 540-546-3744 | |
Village Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4830 Rucker Rd, Moneta, VA 24121 Phone: 540-297-7181 | |
Smith Mountain Lake Chiropractic Center P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15388 Moneta Rd, Moneta, VA 24121 Phone: 540-297-1085 | |
Centra Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1039 Mayberry Crossing Dr Ste C, Moneta, VA 24121 Phone: 434-200-4422 Fax: 434-200-2313 |