| Adam Mullet, MD | |
|
2130 Rosalind Ave Sw, Roanoke, VA 24014-1718 | |
| (540) 589-7807 | |
| Not Available |
| Full Name | Adam Mullet |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2130 Rosalind Ave Sw, Roanoke, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609492594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101280463 (Virginia) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 84567 (South Carolina) | Secondary |
| Entity Name | Valley Geropsychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720574569 PECOS PAC ID: 7911257183 Enrollment ID: O20180910000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Mullet, MD 96 Jonathan Lucas St Ste 601, Charleston, SC 29425-8900 Ph: () - | Adam Mullet, MD 2130 Rosalind Ave Sw, Roanoke, VA 24014-1718 Ph: (540) 589-7807 |
Rodney James Snodgrass Deaton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-981-8025 | |
Carlos Mora, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-985-9427 | |
John H Draeger, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-853-0900 Fax: 540-853-0518 | |
Fahim Fahim, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3517 Brandon Ave Sw, Roanoke, VA 24018 Phone: 540-981-1102 Fax: 540-344-4169 | |
Dr. John Eric Vance, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-853-0900 Fax: 540-853-0518 | |
Dr. John Gordon Burch, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4431 Starkey Rd, Roanoke, VA 24018 Phone: 540-342-0211 Fax: 540-344-5543 | |
Sooraj John, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2017 Jefferson St Sw, Roanoke, VA 24014 Phone: 540-981-8025 Fax: 540-853-0511 |