| Nancy E Misicko, MD | |
|
150 Market Ridge Lane, Daleville, VA 24083 | |
| (540) 992-4100 | |
| (540) 992-6669 |
| Full Name | Nancy E Misicko |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 150 Market Ridge Lane, Daleville, 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 |
|---|---|---|---|
| 1851382121 | NPI | - | NPPES |
| 5626315 | Medicaid | VA | |
| 080178195 | Other | VA | MEDICARE RAILROAD |
| 5623332 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101231419 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Roanoke, VA | Home health agency |
| Carilion Medical Center | Roanoke, 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 | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy E Misicko, MD 421 Stonelea Dr, Troutville, VA 24175-7195 Ph: (540) 966-1222 | Nancy E Misicko, MD 150 Market Ridge Lane, Daleville, VA 24083 Ph: (540) 992-4100 |
Daniel Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 46 Wesley Rd, Daleville, VA 24083 Phone: 540-992-4100 | |
Elizabeth Polk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Wesley Rd, Daleville, VA 24083 Phone: 540-992-4100 | |
Katherine Holland Walker, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Market Ridge Ln, Daleville, VA 24083 Phone: 540-966-0400 | |
Ms. Katherine Harris, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Market Ridge Ln, Daleville, VA 24083 Phone: 540-966-0400 Fax: 540-992-6669 | |
Karen Karvetski Terry, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Wesley Rd, Daleville, VA 24083 Phone: 540-591-9440 |