| Jennifer Lynn Bennett Grube, MD | |
|
600 W Ridge Rd, Wytheville, VA 24382-1044 | |
| (276) 625-8828 | |
| (276) 228-1776 |
| Full Name | Jennifer Lynn Bennett Grube |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 600 W Ridge Rd, Wytheville, 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 |
|---|---|---|---|
| 1427006444 | NPI | - | NPPES |
| 7100047940 | Medicaid | KY | |
| 1427006444 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101226165 (Virginia) | Secondary |
| 208M00000X | Hospitalist | 0101226165 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Giles Community Hospital | 3678670221 | 166 |
| 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 Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
| Entity Name | Carilion Rockbridge Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174636021 PECOS PAC ID: 4789658261 Enrollment ID: O20040820000838 |
| 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 |
|---|---|
| Jennifer Lynn Bennett Grube, MD 600 W Ridge Rd, Wytheville, VA 24382-1044 Ph: (276) 625-8828 | Jennifer Lynn Bennett Grube, MD 600 W Ridge Rd, Wytheville, VA 24382-1044 Ph: (276) 625-8828 |
Taylor Woodlief, Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 600 W Ridge Rd, Wytheville, VA 24382 Phone: 276-228-0200 | |
Goutham Mandadi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 W Ridge Rd, Wytheville, VA 24382 Phone: 276-228-0200 |