| Bryan Henley, DO | |
|
245 Medical Park Dr, Marion, VA 24354-1100 | |
| (276) 378-1000 | |
| Not Available |
| Full Name | Bryan Henley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 245 Medical Park Dr, Marion, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316089014 | NPI | - | NPPES |
| 1316089014 | Medicaid | VA | |
| PENDING | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102202617 (Virginia) | Secondary |
| 207P00000X | Emergency Medicine | 2201 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Smyth County Community Hospital | Marion, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Virginia Regional Emergency Physicians Llc | 4183991227 | 84 |
| Entity Name | Shenandoah Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952417735 PECOS PAC ID: 2466360375 Enrollment ID: O20040115001156 |
| Entity Name | Page Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326040684 PECOS PAC ID: 8426951203 Enrollment ID: O20040129000420 |
| Entity Name | Warren Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164442281 PECOS PAC ID: 2365330347 Enrollment ID: O20040310000516 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Western Virginia Regional Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386183028 PECOS PAC ID: 4183991227 Enrollment ID: O20170522001368 |
| Entity Name | Ohio Valley Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20200124001561 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Henley, DO 336 S Fork Rd, Marion, VA 24354-6838 Ph: (276) 620-4526 | Bryan Henley, DO 245 Medical Park Dr, Marion, VA 24354-1100 Ph: (276) 378-1000 |
Fredrick M Moses, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1234 | |
Charles E Shaffer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1234 | |
Teresa Fullen, FNP-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 216 Hospital Ave, Marion, VA 24354 Phone: 276-783-8185 Fax: 276-783-5030 | |
James E Patterson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1234 | |
David Ratcliff, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-782-1234 |