| Dr Mary Cassebaum Meyers, MD | |
|
106 Doctors Park, Galax, VA 24333-2276 | |
| (276) 236-0065 | |
| Not Available |
| Full Name | Dr Mary Cassebaum Meyers |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 106 Doctors Park, Galax, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063517159 | NPI | - | NPPES |
| 182177 | Other | VA | ANTHEM |
| E0834 | Other | NC | MEDCOST |
| 010159148 | Medicaid | VA | |
| 305707 | Other | VA | SOUTHERN HEALTH |
| 8308332 | Other | NC | CIGNA NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | FM6250447 (Massachusetts) | Secondary |
| 208000000X | Pediatrics | 101042251 (Virginia) | Primary |
| Entity Name | Dlp Twin County Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962078527 PECOS PAC ID: 7214199512 Enrollment ID: O20120503000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Cassebaum Meyers, MD Po Box 1337, Galax, VA 24333-1337 Ph: (276) 236-0065 | Dr Mary Cassebaum Meyers, MD 106 Doctors Park, Galax, VA 24333-2276 Ph: (276) 236-0065 |
Dr. Maria B Mcguire, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Doctors Park, Galax, VA 24333 Phone: 276-236-0065 | |
Nicole Alexandra Fazekas-woolwine, DO Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 606 E Stuart Dr, Galax, VA 24333 Phone: 276-236-8166 |