Adriana Montilla Hernandez, MD | |
800 Oak St, Farmville, VA 23901-1199 | |
(434) 315-2730 | |
(434) 392-1797 |
Full Name | Adriana Montilla Hernandez |
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Gender | Female |
Speciality | Pediatrics |
Location | 800 Oak St, Farmville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134798903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101283404 (Virginia) | Primary |
Entity Name | Centra Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
Mailing Address | Practice Location Address |
---|---|
Adriana Montilla Hernandez, MD 9100 Baldridge Rd Apt 8205, Pensacola, FL 32514-9465 Ph: (786) 543-6151 | Adriana Montilla Hernandez, MD 800 Oak St, Farmville, VA 23901-1199 Ph: (434) 315-2730 |
Lucien R. Ouellette, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1409 S Main Street, Farmville, VA 23901 Phone: 434-207-5170 Fax: 434-485-8599 | |
Dr. Ibtehal A.sabri Al-ani, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1715 West Third Street, Farmville, VA 23901 Phone: 434-315-0138 Fax: 434-392-9748 | |
Andrew Naveen Samuel Rajkumar, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 935 S Main St, Farmville, VA 23901 Phone: 434-315-5340 |