| Kiley Fagan Fitzgerald, MD | |
|
1 Riverside Cir Ste 300, Roanoke, VA 24016-4962 | |
| (540) 224-5170 | |
| Not Available |
| Full Name | Kiley Fagan Fitzgerald |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 6 Years |
| Location | 1 Riverside Cir Ste 300, Roanoke, 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 |
|---|---|---|---|
| 1003479254 | NPI | - | NPPES |
| 10808 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 0101281436 (Virginia) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 0101281436 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Medical Center | Roanoke, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Healthcare Corporation | 5890607253 | 445 |
| Dominion Pathology Associates Pc | 8628031630 | 8 |
| Carilion Medical Center | 9830096585 | 914 |
| 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 Franklin Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710970918 PECOS PAC ID: 3173501269 Enrollment ID: O20040714000029 |
| Entity Name | Carilion Tazewell Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427040328 PECOS PAC ID: 4183604259 Enrollment ID: O20040721000540 |
| 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 | Dominion Pathology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750380879 PECOS PAC ID: 8628031630 Enrollment ID: O20041110001006 |
| 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 |
|---|---|
| Kiley Fagan Fitzgerald, MD 1 Riverside Cir Ste 300, Roanoke, VA 24016-4962 Ph: () - | Kiley Fagan Fitzgerald, MD 1 Riverside Cir Ste 300, Roanoke, VA 24016-4962 Ph: (540) 224-5170 |
Dr. Larry Patton, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4910 Valley View Blvd Nw, Roanoke, VA 24012 Phone: 540-265-1604 Fax: 540-265-1684 | |
Dr. Howard B Pride, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Riverside Cir Ste 300, Roanoke, VA 24016 Phone: 540-581-0254 | |
Dr. Clay Mitchell Pickard, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1 Riverside Cir Ste 300, Roanoke, VA 24016 Phone: 540-581-0254 Fax: 540-581-0120 | |
Jarret Faust, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Riverside Cir Ste 300, Roanoke, VA 24016 Phone: 540-581-0170 Fax: 479-966-4979 | |
Karla Guerra, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 Riverside Cir, Roanoke, VA 24016 Phone: 540-581-0254 Fax: 540-581-0120 | |
Melanie Rebecca Walter, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2000 Stephenson Ave., Roanoke, VA 24014 Phone: 540-395-3376 Fax: 540-427-7858 |