Dr Percita Loren Ellis, MD | |
6 Grouse Run Rd, Lexington, VA 24450-2252 | |
(540) 463-1006 | |
(540) 463-2003 |
Full Name | Dr Percita Loren Ellis |
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Gender | Female |
Speciality | Pediatrics |
Location | 6 Grouse Run Rd, Lexington, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962477281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101231232 (Virginia) | Primary |
Entity Name | Piedmont Access To Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649240698 PECOS PAC ID: 3476512427 Enrollment ID: O20050304000592 |
Entity Name | Piedmont Access To Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235677634 PECOS PAC ID: 3476512427 Enrollment ID: O20170920001334 |
Mailing Address | Practice Location Address |
---|---|
Dr Percita Loren Ellis, MD 6 Grouse Run Rd, Lexington, VA 24450-2252 Ph: (540) 463-1006 | Dr Percita Loren Ellis, MD 6 Grouse Run Rd, Lexington, VA 24450-2252 Ph: (540) 463-1006 |
Linh Thi Tran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Northridge Ln, Lexington, VA 24450 Phone: 540-464-8700 | |
James M. Kennedy Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Northridge Ln, Lexington, VA 24450 Phone: 540-464-8700 | |
Zachary Zuse Dubit, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 650 N Lee Hwy Apt 2, Lexington, VA 24450 Phone: 540-463-0951 |