Raven Parke, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Roanoke, Virginia. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carilion Emergency Services Inc, Medexpress Urgent Care, Pc - Virginia and her current practice location is
4035 Electric Rd Ste A, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 772-8670.
Raven Parke is licensed to practice in Virginia (license number 0110-007699) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114545928.
Physician's Profile
| Full Name | Raven Parke |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 4035 Electric Rd Ste A, Roanoke, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Raven Parke graduated from medical school in 2020
NPI Data:
- NPI Number: 1114545928
- Provider Enumeration Date: 07/08/2020
- Last Update Date: 12/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840609855
- Enrollment ID: I20210504000642
Medical Identifiers
Medical identifiers for Raven Parke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114545928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207PE0004X | Emergency Medicine - Emergency Medical Services | 00000000 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0000000 (Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0110-007699 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Carilion Emergency Services Inc | 7012820889 | 42 |
| Medexpress Urgent Care, Pc - Virginia | 3173797586 | 79 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raven Parke is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Raven Parke, PA-C
27 Stonewall Rd,
Concord, VA 24538-3070
Ph: (540) 986-5480 | Raven Parke, PA-C
4035 Electric Rd Ste A,
Roanoke, VA 24018-8449
Ph: (540) 772-8670 |
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