| Angel Shelton Beavers, | |
| 
					1613 Oakwood St, Bedford, VA 24523-1213  | |
| (800) 554-5517 | |
| Not Available | 
| Full Name | Angel Shelton Beavers | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1613 Oakwood St, Bedford, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720404205 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001178518 (Virginia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 0024171546 (Virginia) | Primary | 
| Entity Name | Danville Urologic Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619927100 PECOS PAC ID: 8022067743 Enrollment ID: O20050119000909  | 
| Entity Name | Danville Physician Practices Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629022868 PECOS PAC ID: 4688606304 Enrollment ID: O20051007000454  | 
| Entity Name | Savida Health, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548739170 PECOS PAC ID: 4082809967 Enrollment ID: O20190426001267  | 
| Entity Name | Signify Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383  | 
| Entity Name | Pai Participant 1 Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Angel Shelton Beavers, 6255 Bethany Road, Rustburg, VA 24588 Ph: (434) 258-4426  | Angel Shelton Beavers, 1613 Oakwood St, Bedford, VA 24523-1213 Ph: (800) 554-5517  | 
Annmarie Jones, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1108 Poplar St, Bedford, VA 24523 Phone: 321-258-6123  | |
Annette Marie Schwendinger, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1710 Whitfield Dr, Bedford, VA 24523 Phone: 540-586-8889  | |
Josie Freeman, LNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 171 W Main St, Bedford, VA 24523 Phone: 540-586-7273  | |
Jesseka Ree Bettenhausen, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1710 Whitfield Dr, Bedford, VA 24523 Phone: 540-586-8889 Fax: 540-586-8717  | |
Andrea Mi Wild-gingeleski,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 582 Blue Ridge Ave, Bedford, VA 24523 Phone: 434-455-2480  | |
Beth Kessler Short, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 W Main St, Bedford, VA 24523 Phone: 540-305-3623  | |
Rebecca Loviza Collins, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1320 Von Roy Rd, Bedford, VA 24523 Phone: 302-373-8019  |