| Dr Susan Kinnison, MD | |
|
101 Elm Ave Se, Roanoke, VA 24013-2222 | |
| (540) 224-4325 | |
| Not Available |
| Full Name | Dr Susan Kinnison |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 31 Years |
| Location | 101 Elm Ave Se, Roanoke, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568441046 | NPI | - | NPPES |
| 007313535 | Medicaid | VA | |
| P00310524 | Other | VA | MEDICARE RAILROAD |
| 1568441046 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101227973 (Virginia) | Secondary |
| 208600000X | Surgery | 0101227973 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Wound Care Llc | 2365981818 | 2 |
| Entity Name | Vohra Wound Physicians Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205130911 PECOS PAC ID: 6406039882 Enrollment ID: O20141203002671 |
| Entity Name | Premier Geriatric Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568093672 PECOS PAC ID: 3072940279 Enrollment ID: O20200228001800 |
| Entity Name | Hospitalist Medicine Physicians Of Washington Tacoma Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740911585 PECOS PAC ID: 5395126270 Enrollment ID: O20240223002812 |
| Entity Name | Eventus Premier Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437998309 PECOS PAC ID: 6305381013 Enrollment ID: O20240717001731 |
| Entity Name | Blue Ridge Wound Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952172819 PECOS PAC ID: 2365981818 Enrollment ID: O20240828001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Kinnison, MD 213 S Jefferson St Ste 625, Roanoke, VA 24011-1713 Ph: (540) 224-5679 | Dr Susan Kinnison, MD 101 Elm Ave Se, Roanoke, VA 24013-2222 Ph: (540) 224-4325 |
Kirshan K Tayal, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7544 | |
Dr. Guy Katz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
Mark Edward Hamill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7434 Fax: 540-981-8681 | |
Roxanne Davenport, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Circle, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
John Stephen Rudderow, Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 972-978-8758 | |
Jessica Grace Wright, Surgery Medicare: Not Enrolled in Medicare Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
Dr. Paul Raymond Tompkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5709 Longridge Cir, Roanoke, VA 24018 Phone: 706-231-1570 |