| Dr Kirsten Madea, DO | |
|
Community Access Network 800 5th Street, Lynchburg, VA 24502 | |
| (434) 200-3366 | |
| Not Available |
| Full Name | Dr Kirsten Madea |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | Community Access Network 800 5th Street, Lynchburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851788202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0102205322 (Virginia) | Primary |
| Entity Name | Johnson Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316926538 PECOS PAC ID: 9537060413 Enrollment ID: O20040709000047 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Entity Name | Johnson Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881102655 PECOS PAC ID: 9537060413 Enrollment ID: O20181026000591 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kirsten Madea, DO 306 Liberty View Ln, Lynchburg, VA 24502-2291 Ph: () - | Dr Kirsten Madea, DO Community Access Network 800 5th Street, Lynchburg, VA 24502 Ph: (434) 200-3366 |
Morgan S Mandeville, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Richeson Dr, Lynchburg, VA 24501 Phone: 434-385-7776 Fax: 434-385-5846 | |
John B Arnold, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1212 Mcconville Road, Lynchburg, VA 24502 Phone: 434-237-8886 Fax: 434-239-6807 | |
Denise L Fenton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1212 Mcconville Road, Lynchburg, VA 24502 Phone: 434-237-8886 Fax: 434-239-6807 | |
Robert Skyler Mccurley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 121 Mcconville Road, Lynchburg, VA 24502 Phone: 434-237-8886 Fax: 434-239-6807 | |
Dr. Richard C Morris, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Richeson Dr, Lynchburg, VA 24501 Phone: 434-385-7776 Fax: 434-385-5846 | |
Bradley S Malcolm, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Richeson Dr, Lynchburg, VA 24501 Phone: 434-385-7776 Fax: 434-385-5846 | |
Raul Barroso, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2137 Lakeside Dr, Lynchburg, VA 24501 Phone: 434-404-7200 Fax: 434-385-8616 |