| Charles W Welly, DO | |
|
5 W Back St Ste 101, Fincastle, VA 24090-4368 | |
| (540) 769-3964 | |
| (540) 473-3458 |
| Full Name | Charles W Welly |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 40 Years |
| Location | 5 W Back St Ste 101, Fincastle, 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 |
|---|---|---|---|
| 1700956414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2248 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | 0102204907 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rockbridge Area Hospice Inc | Lexington, VA | Hospice |
| Lewisgale Hospital Alleghany | Low moor, VA | Hospital |
| The Woodlands Health And Rehab Center | Clifton forge, VA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Universal Health Corporation | 5597912626 | 81 |
| Entity Name | Universal Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407117625 PECOS PAC ID: 5597912626 Enrollment ID: O20120824000538 |
| Entity Name | Vohra Wound Physicians Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205130911 PECOS PAC ID: 6406039882 Enrollment ID: O20141203002671 |
| Entity Name | Pai Participant 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934 |
| Entity Name | Provider Partners Care Management Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20241105003021 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles W Welly, DO Po Box 8310, Roanoke, VA 24014-0310 Ph: (540) 345-3556 | Charles W Welly, DO 5 W Back St Ste 101, Fincastle, VA 24090-4368 Ph: (540) 769-3964 |
Clarke B Andrews, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36 Botetourt Rd, Fincastle, VA 24090 Phone: 540-473-2110 Fax: 540-473-2723 | |
Dr. Harry James Reed, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3316 Oak Ridge Rd, Fincastle, VA 24090 Phone: 540-473-1455 |