| Dr Edwin J Polverino, DO | |
|
1935 W Main St, Salem, VA 24153-3109 | |
| (540) 387-0441 | |
| (540) 389-7868 |
| Full Name | Dr Edwin J Polverino |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 1935 W Main St, Salem, 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 |
|---|---|---|---|
| 1194798983 | NPI | - | NPPES |
| 005622191 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102037045 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Healthcare Corporation | 5890607253 | 445 |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Entity Name | Carilion Rockbridge Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20040820000838 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edwin J Polverino, DO 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () - | Dr Edwin J Polverino, DO 1935 W Main St, Salem, VA 24153-3109 Ph: (540) 387-0441 |
Charles Emerson Lamb, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-855-3469 | |
William Joseph Blaskis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1935 W Main St, Salem, VA 24153 Phone: 540-387-0441 Fax: 540-389-7868 | |
Deana Young, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1935 W Main St, Salem, VA 24153 Phone: 540-387-0441 Fax: 540-389-7868 | |
Claudia J. Bahorik, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-855-3406 | |
Dr. Patrick Scott Hall, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd., Salem, VA 24153 Phone: 540-982-2463 Fax: 540-855-3406 | |
Dr. John Edward Sadler Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1930 Braeburn Cir, Salem, VA 24153 Phone: 540-772-4540 Fax: 540-772-6805 | |
Vivien Ifeyinwa Osuorah, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-855-3469 |