Domenica Kathleen Favero, | |
1900 Thomson Dr, Lynchburg, VA 24501-1009 | |
(434) 947-2890 | |
Not Available |
Full Name | Domenica Kathleen Favero |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 22 Years |
Location | 1900 Thomson Dr, Lynchburg, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588836944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810003442 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1223 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Domenica Kathleen Favero, Po Box 11768, Lynchburg, VA 24506-1768 Ph: (434) 947-8290 | Domenica Kathleen Favero, 1900 Thomson Dr, Lynchburg, VA 24501-1009 Ph: (434) 947-2890 |
Susan Eick, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3712 Old Forest Rd Ste 500, Lynchburg, VA 24501 Phone: 434-385-0744 | |
Kathryn Kirkpatrick, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2250 Murrell Rd Ste K, Lynchburg, VA 24501 Phone: 434-846-6744 Fax: 434-846-6827 | |
Dr. David E. Jenkins, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1971 University Blvd, Center For Counseling And Family Studies, Lynchburg, VA 24502 Phone: 434-592-4045 | |
Dr. Eduardo T Berdecio, M.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 620 Court St, Lynchburg, VA 24504 Phone: 434-455-2082 | |
Arthur Frank Selden, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-200-5999 | |
Deborah Lynne Kleinsmith, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1610 Graves Mill Rd Ste A, Lynchburg, VA 24502 Phone: 434-219-5621 | |
Suzanne Rozgonyi Eaton, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3712 Old Forest Rd., Suite 500 Unit 1, Lynchburg, VA 24501 Phone: 434-609-4099 |