| Emily C Pastore, AUD | |
|
2070 Old Bridge Rd Ste 103, Lake Ridge, VA 22192-2495 | |
| (703) 499-8787 | |
| (703) 499-8222 |
| Full Name | Emily C Pastore |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 2070 Old Bridge Rd Ste 103, Lake Ridge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336399195 | NPI | - | NPPES |
| P00728623 | Other | ME | MEDICARE RAILROAD PTAN GROUP CB0866 |
| 433863099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AP1909 (Maine) | Secondary |
| 231H00000X | Audiologist | 3971 (South Carolina) | Secondary |
| 231H00000X | Audiologist | 2201001383 (Virginia) | Primary |
| Provider Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744 |
| Provider Name | Audiology And Hearing Aid Center Of Gainesville, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841387016 PECOS PAC ID: 0547269680 Enrollment ID: O20061219000010 |
| Provider Name | James Madison University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356882690 PECOS PAC ID: 4880917475 Enrollment ID: O20171218000057 |
| Provider Name | Mle Pastore Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780422410 PECOS PAC ID: 9133645088 Enrollment ID: O20250424000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily C Pastore, AUD 2070 Old Bridge Rd Ste 103, Lake Ridge, VA 22192-2495 Ph: (703) 499-8787 | Emily C Pastore, AUD 2070 Old Bridge Rd Ste 103, Lake Ridge, VA 22192-2495 Ph: (703) 499-8787 |
Megan Riley Murphy, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2070 Old Bridge Rd Ste 103, Lake Ridge, VA 22192 Phone: 703-499-8787 | |
Alison L Liudahl, AU.D.,C.C.C.-A,F.A.A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2070 Old Bridge Rd, Suite 103, Lake Ridge, VA 22192 Phone: 703-499-8787 Fax: 703-499-8222 |