| Dr Manuel T Peralta Jr, MD | |
|
2103 Graves Mill Rd, Forest, VA 24551-2675 | |
| (434) 316-7199 | |
| (434) 316-6185 |
| Full Name | Dr Manuel T Peralta Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 2103 Graves Mill Rd, Forest, 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 |
|---|---|---|---|
| 1245451194 | NPI | - | NPPES |
| 1245451194 | Other | SOUTHERN HEALTH | |
| 1245451194 | Medicaid | VA | |
| 014695A65 | Other | MEDICARE RAIL ROAD | |
| 1245451194 | Other | TRICARE | |
| 302185 | Other | ANTHEM | |
| 3700863 | Other | CIGNA | |
| 541901162 | Other | PCHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101241169 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centra Health - Lynchburg Gen Hospital | Lynchburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manuel T Peralta Jr, MD 2103 Graves Mill Rd, Forest, VA 24551-2675 Ph: (434) 316-7199 | Dr Manuel T Peralta Jr, MD 2103 Graves Mill Rd, Forest, VA 24551-2675 Ph: (434) 316-7199 |
Dr. Jeffrey S Ponke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1149 Vista Park Dr Ste C, Forest, VA 24551 Phone: 434-616-2455 | |
Laura M Robert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1088 London Links Dr, Forest, VA 24551 Phone: 434-534-6868 Fax: 434-534-8808 | |
Dr. Kari Michelle Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16890 Forest Rd, Forest, VA 24551 Phone: 434-200-7210 Fax: 434-525-2138 | |
Dr. Aaron Poch, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1175 Corporate Park Dr, Forest, VA 24551 Phone: 434-525-6964 | |
Dr. David Robert Paulus, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1088 London Links Dr, Forest, VA 24551 Phone: 434-534-6868 Fax: 434-534-8808 | |
Dr. Douglas M Farrago, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1149 Vista Park Dr, Suite C, Forest, VA 24551 Phone: 434-616-2455 Fax: 434-253-1806 |