| Dr Andrew Jordan Rosenfeld, DO | |
|
16431 Wise St, Saint Paul, VA 24283-3537 | |
| (276) 762-2300 | |
| Not Available |
| Full Name | Dr Andrew Jordan Rosenfeld |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 8 Years |
| Location | 16431 Wise St, Saint Paul, Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740772359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102206922 (Virginia) | Secondary |
| 208M00000X | Hospitalist | 0102206922 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Russell County Hospital | Lebanon, VA | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Medical Management Corporation | 9739099441 | 294 |
| Oxbow Physician Services Llc | 1850883513 | 33 |
| Wellmont Medical Associates Inc | 8123291739 | 446 |
| Benham Physician Services Llc | 5496248353 | 10 |
| Abingdon Physician Partners | 5991705667 | 41 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
| Entity Name | Abingdon Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306944350 PECOS PAC ID: 5991705667 Enrollment ID: O20070102000365 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467 |
| Entity Name | Mountain States Health Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245781954 PECOS PAC ID: 6002726718 Enrollment ID: O20161216000941 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Jordan Rosenfeld, DO 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Dr Andrew Jordan Rosenfeld, DO 16431 Wise St, Saint Paul, VA 24283-3537 Ph: (276) 762-2300 |