| Jamie Clark, | |
|
7051 Heathcote Village Way, Gainesville, VA 20155-3196 | |
| (703) 754-0951 | |
| (703) 754-8941 |
| Full Name | Jamie Clark |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 7051 Heathcote Village Way, Gainesville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851564348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 2201001128 (Virginia) | Primary |
| 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 | Privia Medical Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Clark, 7051 Heathcote Village Way Ste 245, Gainesville, VA 20155-3266 Ph: (703) 745-0951 | Jamie Clark, 7051 Heathcote Village Way, Gainesville, VA 20155-3196 Ph: (703) 754-0951 |
Dr. Rebecca May Beckman, AUD CCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 7001 Heritage Village Plz, Suite 260, Gainesville, VA 20155 Phone: 703-468-2205 Fax: 703-468-2216 | |
Mle Pastore, Llc Audiologist Medicare: Medicare Enrolled Practice Location: 7051 Heathcote Village Way Ste 245, Gainesville, VA 20155 Phone: 703-754-0951 | |
Dr. Katelynn Weber, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 7001 Heritage Village Plaza, Suite 170, Gainesville, VA 20155 Phone: 703-468-2205 |