| Dr George C Wortley, MD | |
|
2252 Magnolia Ave, Buena Vista, VA 24416-3122 | |
| (540) 261-7421 | |
| (540) 261-1952 |
| Full Name | Dr George C Wortley |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2252 Magnolia Ave, Buena Vista, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932108933 | NPI | - | NPPES |
| 01-01624 | Other | UNITED HEALTHCARE PROVIDE | |
| 44990 | Other | SENTARA/OPTIMA PROVIDER N | |
| 56-7043-8 | Other | VA PREMIER PROVIDER NUMBE | |
| 541457983 | Other | TRICARE PROVIDER NUMBER | |
| 56-1408-2 | Other | VA PREMIER PROVIDER NUMBE | |
| 165842 | Other | SOUTHERN HEALTH PROVIDER | |
| 186565 | Other | ANTHEM PROVIDER NUMBER | |
| 541457983 | Other | PCHP PROVIDER NUMBER | |
| 0056-1408-2 | Medicaid | VA | |
| 005670438 | Medicaid | VA | |
| 49611 | Other | MEDCOST PROVIDER NUMBER | |
| 700010624 | Other | CIGNA PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101041006 (Virginia) | Primary |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George C Wortley, MD 2252 Magnolia Ave, Buena Vista, VA 24416-3122 Ph: (540) 261-7421 | Dr George C Wortley, MD 2252 Magnolia Ave, Buena Vista, VA 24416-3122 Ph: (540) 261-7421 |
Barbara Joy Trandel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2252 Magnolia Ave, Buena Vista, VA 24416 Phone: 540-261-7421 Fax: 540-261-1952 | |
Thomas Francis Hamilton, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2252 Magnolia Ave, Buena Vista, VA 24416 Phone: 540-261-7421 Fax: 540-261-1952 | |
Claire Wallace, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2054 Sycamore Ave, Buena Vista, VA 24416 Phone: 540-261-1315 Fax: 540-261-1314 |