| Charles Raeburn Judy, MD | |
|
600 Randolph St, Radford, VA 24141-2428 | |
| (540) 639-5300 | |
| (540) 639-4653 |
| Full Name | Charles Raeburn Judy |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 600 Randolph St, Radford, 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 |
|---|---|---|---|
| 1720085392 | NPI | - | NPPES |
| 5639719 | Medicaid | VA | |
| 010172942 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101050262 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Lewisgale Hospital Pulaski | Pulaski, VA | Hospital |
| Lewisgale Hospital Montgomery | Blacksburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Family Health Clinic, Inc. | 9032250469 | 3 |
| Entity Name | Family Health Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740393891 PECOS PAC ID: 9032250469 Enrollment ID: O20100107000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Raeburn Judy, MD 600 Randolph St, Radford, VA 24141-2428 Ph: (540) 639-5300 | Charles Raeburn Judy, MD 600 Randolph St, Radford, VA 24141-2428 Ph: (540) 639-5300 |
Dr. Sudesh Tayal, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 128 Jefferson St, Waldron Hall - Radford University Clinics, Radford, VA 24142 Phone: 540-831-7660 | |
Michael Keith Bowman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 614 E Main St, Radford, VA 24141 Phone: 540-633-0776 | |
Dr. Thomas Fritz Knisely, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Main St, Radford, VA 24142 Phone: 540-831-5111 | |
Dr. Sarah M Turner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Randolph St Ste 120, Radford, VA 24141 Phone: 540-731-3200 | |
Scott A Kincaid, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 701 Randolph St, Suite 120, Radford, VA 24141 Phone: 540-731-3200 Fax: 540-639-1048 | |
Dr. Benjamin Henry Morgan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Randolph St Ste 120, Radford, VA 24141 Phone: 540-731-3200 |