| Greg Leland Potter, DO | |
|
46 Wesley Rd, Daleville, VA 24083-3082 | |
| (540) 591-9440 | |
| Not Available |
| Full Name | Greg Leland Potter |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 46 Wesley Rd, Daleville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326105669 | NPI | - | NPPES |
| 1326105669 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 0102201361 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 0102201361 (Virginia) | Primary |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Entity Name | Carilion Emergency Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255602694 PECOS PAC ID: 7012820889 Enrollment ID: O20031107000339 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Leland Potter, DO 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () - | Greg Leland Potter, DO 46 Wesley Rd, Daleville, VA 24083-3082 Ph: (540) 591-9440 |
Daniel Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 46 Wesley Rd, Daleville, VA 24083 Phone: 540-992-4100 | |
Elizabeth Polk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Wesley Rd, Daleville, VA 24083 Phone: 540-992-4100 | |
Katherine Holland Walker, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Market Ridge Ln, Daleville, VA 24083 Phone: 540-966-0400 | |
Ms. Katherine Harris, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Market Ridge Ln, Daleville, VA 24083 Phone: 540-966-0400 Fax: 540-992-6669 | |
Nancy E Misicko, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Market Ridge Lane, Daleville, VA 24083 Phone: 540-992-4100 Fax: 540-992-6669 | |
Karen Karvetski Terry, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Wesley Rd, Daleville, VA 24083 Phone: 540-591-9440 |