| Dr Patricia Mourilhe Mcentire, MD | |
|
700 24th St, Kenner Army Clinic, Fort Lee, VA 23801-1716 | |
| (804) 734-9295 | |
| Not Available |
| Full Name | Dr Patricia Mourilhe Mcentire |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 700 24th St, Fort Lee, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568425486 | NPI | - | NPPES |
| 5905428 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | 218670-1 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0066761 (Maryland) | Primary |
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patricia Mourilhe Mcentire, MD 1613 Dunterry Pl, Mc Lean, VA 22101-4318 Ph: (212) 566-7048 | Dr Patricia Mourilhe Mcentire, MD 700 24th St, Kenner Army Clinic, Fort Lee, VA 23801-1716 Ph: (804) 734-9295 |
Brady Lamont Yates, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9069 Fax: 804-734-9188 | |
Dr. Robert Stanley Brown Sr., M.D., PHD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 894-734-9623 Fax: 804-734-9188 | |
Ms. Sultana Ayubi Salam, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 700 24th Street, Kenner Army Health Clinic, Fort Lee, VA 23801 Phone: 808-734-9623 Fax: 804-734-9188 | |
Jonathan Riddle Scarff, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9000 | |
Dr. Prakash Nathu, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9942 Fax: 877-874-1008 | |
Dr. Eleanor Law Gagon, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9942 Fax: 877-874-1008 |