| Abingdon Integrative Psychiatry Llc | |
|
468 E Main St Ste 300a Abingdon VA 24210-3501 | |
| (276) 608-4388 | |
| Not Available |
| Full Name | Abingdon Integrative Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 468 E Main St Ste 300a, Abingdon, Virginia |
| Authorized Official Name and Position | Monika Elizabeth Pelly (ADMINISTRATOR) |
| Authorized Official Contact | 2766084388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abingdon Integrative Psychiatry Llc 468 E Main St Ste 300a Abingdon VA 24210-3501 Ph: (276) 608-4388 | Abingdon Integrative Psychiatry Llc 468 E Main St Ste 300a Abingdon VA 24210-3501 Ph: (276) 608-4388 |
| NPI Number | 1457820888 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 02/04/2020 |
| Certification Date | 02/04/2020 |
| Medicare PECOS PAC ID | 8426395153 |
|---|---|
| Medicare Enrollment ID | O20190204000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457820888 | NPI | - | NPPES |
| 1750591442 | Medicaid | FL | |
| 1457820888 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Monika Elizabeth Pelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750591442 PECOS PAC ID: 6002944378 Enrollment ID: I20100506000480 |
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