| Charlotte Hagan, MD | |
|
4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0620 | |
| (540) 345-4946 | |
| (540) 982-7164 |
| Full Name | Charlotte Hagan |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4461 Starkey Rd, 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 |
|---|---|---|---|
| 1861450868 | NPI | - | NPPES |
| 1861450868 | Other | MEDICARE | |
| VVB267B | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101237238 (Virginia) | Primary |
| Entity Name | Physician Associates Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659319275 PECOS PAC ID: 3870578214 Enrollment ID: O20040621001202 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Hagan, MD 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0620 Ph: (540) 345-4946 | Charlotte Hagan, MD 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0620 Ph: (540) 345-4946 |
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 |