| Stephens City Family Medicine Llc | |
|
370 Fairfax Pike Stephens City VA 22655-2968 | |
| (540) 868-4100 | |
| (540) 868-0888 |
| Full Name | Stephens City Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 370 Fairfax Pike, Stephens City, Virginia |
| Authorized Official Name and Position | Monica Hott (OFFICE MANAGER) |
| Authorized Official Contact | 5408684100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephens City Family Medicine Llc 370 Fairfax Pike Stephens City VA 22655-2968 Ph: (540) 868-4100 | Stephens City Family Medicine Llc 370 Fairfax Pike Stephens City VA 22655-2968 Ph: (540) 868-4100 |
| NPI Number | 1306995717 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 9638125842 |
|---|---|
| Medicare Enrollment ID | O20050330000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306995717 | NPI | - | NPPES |
| 129363 | Other | VA | COMMUNITY HEALTH |
| 1306995717 | Medicaid | VA | |
| 137797 | Other | VA | ANTHEM |
| 7650702 | Other | VA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101233394 (Virginia) | Primary |
| Provider Name | Joel T Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851360010 PECOS PAC ID: 6608855853 Enrollment ID: I20040720000516 |
| Provider Name | Christopher J Craig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265583314 PECOS PAC ID: 0547367567 Enrollment ID: I20070525000055 |
| Provider Name | Jennifer Renee Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427264639 PECOS PAC ID: 0143393132 Enrollment ID: I20130702000832 |
| Provider Name | Robin L Luttrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629442470 PECOS PAC ID: 7315241122 Enrollment ID: I20160215001044 |
| Provider Name | Jordan Elizabeth Pacilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225676174 PECOS PAC ID: 0648605634 Enrollment ID: I20200122000630 |
Scfm Convenience Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Warrior Dr, Stephens City, VA 22655 Phone: 540-868-4100 Fax: 540-868-0888 | |
Valley Family & Procedural Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 640 Warrior Dr, Suite 109, Stephens City, VA 22655 Phone: 540-868-2511 Fax: 540-868-9105 |