| Jennifer Nelson, MD | |
|
106 Wadsworth St, Radford, VA 24141-1439 | |
| (540) 639-9023 | |
| Not Available |
| Full Name | Jennifer Nelson |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 17 Years |
| Location | 106 Wadsworth St, Radford, 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 |
|---|---|---|---|
| 1942439096 | NPI | - | NPPES |
| 1366486664 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 0101256585 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lewisgale Hospital Montgomery | Blacksburg, VA | Hospital |
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Lewisgale Hospital Pulaski | Pulaski, VA | Hospital |
| Lewisgale Medical Center | Salem, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis Gale Physicians Llc | 6507886231 | 196 |
| Entity Name | Montgomery Surgery Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366486664 PECOS PAC ID: 6204871312 Enrollment ID: O20050620000981 |
| Entity Name | Lewis Gale Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Nelson, MD 830 Davis St, Suite 1, Blacksburg, VA 24060-7010 Ph: (540) 443-7400 | Jennifer Nelson, MD 106 Wadsworth St, Radford, VA 24141-1439 Ph: (540) 639-9023 |
Dr. Larry A Cowley, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 106 Wadsworth St, Radford, VA 24141 Phone: 540-639-9023 Fax: 540-639-5463 |