| Dr Moriah Susanne Krason, MD | |
|
1802 Braeburn Dr, Salem, VA 24153-7357 | |
| (540) 772-3580 | |
| (540) 772-3785 |
| Full Name | Dr Moriah Susanne Krason |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1802 Braeburn Dr, Salem, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265513683 | NPI | - | NPPES |
| 1265513683 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101240230 (Virginia) | Primary |
| 171000000X | Military Health Care Provider | 0101240230 (Virginia) | Secondary |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Moriah Susanne Krason, MD 1802 Braeburn Dr, Salem, VA 24153-7357 Ph: (540) 772-3580 | Dr Moriah Susanne Krason, MD 1802 Braeburn Dr, Salem, VA 24153-7357 Ph: (540) 772-3580 |
Mr. William Christopher Thomsen Jr., Pediatrics Medicare: Medicare Enrolled Practice Location: 1641 Millwood Dr, Salem, VA 24153 Phone: 434-907-3296 |
Dr. John William Bouldin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 Fax: 540-725-5012 |
Dr. Russell Delaney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 Fax: 540-725-5012 |
Dr. Lauren Good, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 Fax: 540-725-5012 |
Dr. Robert Payne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 Fax: 540-725-5012 |
Dr. Joyce Cummings, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 Fax: 540-725-5012 |
Dr. Lee Anne Steffe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 Fax: 540-725-5012 |