| Jacquelyn Wentworth, | |
|
2875 Barn Rd, Christiansburg, VA 24073-6389 | |
| (540) 731-4578 | |
| (540) 731-3061 |
| Full Name | Jacquelyn Wentworth |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 10 Years |
| Location | 2875 Barn Rd, Christiansburg, 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 |
|---|---|---|---|
| 1447644489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 0101267516 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Healthcare Corporation | 5890607253 | 445 |
| 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 | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Wentworth, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5352 | Jacquelyn Wentworth, 2875 Barn Rd, Christiansburg, VA 24073-6389 Ph: (540) 731-4578 |
Dr. Thomas G Kraemer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir Ste 202, Christiansburg, VA 24073 Phone: 540-731-4578 Fax: 540-731-0867 | |
Rosa Lilia Avila, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2875 Barn Rd, Christiansburg, VA 24073 Phone: 540-731-4578 | |
Erin Ashley Wilkey, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2875 Barn Rd, Christiansburg, VA 24073 Phone: 540-731-4578 | |
Edward P Denious, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2875 Barn Rd, Christiansburg, VA 24073 Phone: 540-731-4578 | |
Dr. David J Roberts, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 215 Roanoke St, Christiansburg, VA 24073 Phone: 540-381-0820 | |
Dr. Sanam E Campbell, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2900 Lamb Cir, Suite 330, Christiansburg, VA 24073 Phone: 540-731-4578 |