| Benita C Bocanegra, | |
|
1424 Old Station Loop, Hardy, VA 24101-3600 | |
| (540) 765-7718 | |
| Not Available |
| Full Name | Benita C Bocanegra |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1424 Old Station Loop, Hardy, 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 |
|---|---|---|---|
| 1962029827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 0024179521 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Home Care Services - Roanoke | Roanoke, VA | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Friendship Physician Clinic Inc | 2567874571 | 6 |
| Old Mission Wound Care Virginia Pllc | 9739629494 | 13 |
| Entity Name | Blue Ridge Behavioral Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437137734 PECOS PAC ID: 6709831522 Enrollment ID: O20050315000430 |
| Entity Name | Friendship Physician Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366041170 PECOS PAC ID: 2567874571 Enrollment ID: O20201216001752 |
| Entity Name | Old Mission Wound Care Virginia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255170627 PECOS PAC ID: 9739629494 Enrollment ID: O20240909002078 |
| Entity Name | Provider Partners Care Management Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20241105003021 |
| Mailing Address | Practice Location Address |
|---|---|
| Benita C Bocanegra, 1424 Old Station Loop, Hardy, VA 24101-3600 Ph: (540) 765-7718 | Benita C Bocanegra, 1424 Old Station Loop, Hardy, VA 24101-3600 Ph: (540) 765-7718 |
Ms. Mary Beth Horst, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 282 Westlake Rd, Hardy, VA 24101 Phone: 540-721-2689 Fax: 540-721-3718 | |
Mrs. Stephanie Cutlip Cash, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13205 Booker T Washington Hwy, Hardy, VA 24101 Phone: 540-719-1815 | |
Joseph Ernest Grisetti, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13205 Booker T Washington Hwy, Hardy, VA 24101 Phone: 540-719-1815 | |
Lisa Wright, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 282 Westlake Rd, Hardy, VA 24101 Phone: 540-721-2689 |