Virginia Lea Conner, EDD is a medicare enrolled "Clinical Neuropsychologist" provider in Prescott, Arizona. Her current practice location is
141 S Mccormick St Ste 109, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 710-8800.
Virginia Lea Conner is licensed to practice in Arizona (license number 1004) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295958023.
Healthcare Provider's Profile
Full Name | Virginia Lea Conner |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 141 S Mccormick St Ste 109, Prescott, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295958023
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 06/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 2264335736
- Enrollment ID: I20040130000963
Medical Identifiers
Medical identifiers for Virginia Lea Conner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295958023 | NPI | - | NPPES |
860969406 | Other | AZ | FEDERAL ID NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 1004 (Arizona) | Secondary |
103G00000X | Clinical Neuropsychologist | 1004 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Virginia Lea Conner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Virginia Lea Conner, EDD 141 S Mccormick St Ste 109, Prescott, AZ 86303-4730 Ph: (928) 710-8800 | Virginia Lea Conner, EDD 141 S Mccormick St Ste 109, Prescott, AZ 86303 Ph: (928) 710-8800 |
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