| Joel M Hullett, MD | |
|
40 Wiley Drive, Ferrum, VA 24088 | |
| (540) 365-4469 | |
| (540) 365-4272 |
| Full Name | Joel M Hullett |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 40 Wiley Drive, 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 |
|---|---|---|---|
| 1528251030 | NPI | - | NPPES |
| 5901837 | Medicaid | NC | |
| 296566 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29656 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 0101261280 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Roanoke, VA | Home health agency |
| Warm Hearth At Home Inc | Blacksburg, VA | Home health agency |
| Encompass Health Home Health | Roanoke, VA | Home health agency |
| Carilion Giles Community Hospital | Pearisburg, VA | Hospital |
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Carilion Medical Center | Roanoke, VA | Hospital |
| Lewisgale Hospital Montgomery | Blacksburg, VA | Hospital |
| Lewisgale Medical Center | Salem, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Giles Community Hospital | 3678670221 | 166 |
| 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 | 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 |
|---|---|
| Joel M Hullett, MD Po Box 9, Laurel Fork, VA 24352-0009 Ph: (276) 398-2292 | Joel M Hullett, MD 40 Wiley Drive, Ferrum, VA 24088 Ph: (540) 365-4469 |
Gabriel Lee Edmondson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Ferrum Mountain Rd, 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 |