| Winchester Internal Medicine, Inc | |
|
190 Campus Blvd Suite 200 Winchester VA 22601-2872 | |
| (540) 662-6135 | |
| (540) 662-5845 |
| Full Name | Winchester Internal Medicine, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 190 Campus Blvd, Winchester, Virginia |
| Authorized Official Name and Position | Edward Paul Smith (PRESIDENT) |
| Authorized Official Contact | 5406626135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winchester Internal Medicine, Inc 190 Campus Blvd Suite 200 Winchester VA 22601-2872 Ph: (540) 662-6135 | Winchester Internal Medicine, Inc 190 Campus Blvd Suite 200 Winchester VA 22601-2872 Ph: (540) 662-6135 |
| NPI Number | 1730130667 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 06/02/2010 |
| Medicare PECOS PAC ID | 3476443813 |
|---|---|
| Medicare Enrollment ID | O20040318000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730130667 | NPI | - | NPPES |
| 3810003817 | Medicaid | WV | |
| CB4305 | Other | RAILROAD MEDICARE GROUP | |
| 000875693 | Other | WV | MTN STATE BS PAY VA GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Virginia) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Gayland Oliver Hethcoat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669434379 PECOS PAC ID: 8527156132 Enrollment ID: I20100628000070 |
| Provider Name | Andrew Edwards Schwentker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649232331 PECOS PAC ID: 5799873303 Enrollment ID: I20100628000079 |
| Provider Name | Edward Paul Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447216734 PECOS PAC ID: 2163483454 Enrollment ID: I20100628000090 |
| Provider Name | Douglas B Keim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356303051 PECOS PAC ID: 6507809092 Enrollment ID: I20100628000107 |
| Provider Name | Frederick Harold Kozlowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508829995 PECOS PAC ID: 0244328854 Enrollment ID: I20100628000117 |
| Provider Name | William Clarence Brink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619933447 PECOS PAC ID: 3072574367 Enrollment ID: I20100713000671 |
| Provider Name | Sherry Keiter Schott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124083191 PECOS PAC ID: 7517983042 Enrollment ID: I20100726000357 |
| Provider Name | Ruma Dahal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376858498 PECOS PAC ID: 1850514019 Enrollment ID: I20171110002648 |
Was Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3042 Valley Ave. Suite 110, Winchester, VA 22601 Phone: 540-450-2206 Fax: 540-450-1546 | |
Winchester Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1330 Amherst St, Winchester, VA 22601 Phone: 304-263-4999 Fax: 304-263-0984 | |
Apple Blossom Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2913 Valley Ave, Suite 200, Winchester, VA 22601 Phone: 540-678-0792 Fax: 540-678-0795 | |
Winchester Med Cons Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Linden Dr, Suite 152, Winchester, VA 22601 Phone: 540-667-0744 Fax: 540-665-8158 | |
Brain And Body Regenerative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3051 Valley Ave Ste 108, Winchester, VA 22601 Phone: 540-678-1212 Fax: 540-678-1123 | |
Internal Medicine Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1829 W. Plaza Drive, Winchester, VA 22601 Phone: 540-667-6161 Fax: 540-722-2744 | |
Berryville Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1824 W Plaza Dr, Winchester, VA 22601 Phone: 540-723-6660 Fax: 540-723-6688 |