| Gabriel Lee Edmondson, DO | |
|
180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | |
| (540) 365-4469 | |
| (540) 365-4272 |
| Full Name | Gabriel Lee Edmondson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 180 Ferrum Mountain Rd, Ferrum, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639582331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0116027199 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Care | Roanoke, VA | Home health agency |
| Carilion Franklin Memorial Hospital | Rocky mount, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri Area Community Health | 6204748296 | 30 |
| Entity Name | Tri Area Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346227584 PECOS PAC ID: 6204748296 Enrollment ID: O20040122000969 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel Lee Edmondson, DO 149 Turkey Ridge Ln, Stuart, VA 24171-5346 Ph: (229) 387-1883 | Gabriel Lee Edmondson, DO 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 Ph: (540) 365-4469 |
Joel M. Hullett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Wiley Drive, Ferrum, VA 24088 Phone: 540-365-4469 Fax: 540-365-4272 | |
Bozenna M Liszka, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 Wiley Drive, Ferrum, VA 24088 Phone: 540-365-4469 Fax: 540-365-4272 |