| Brandon Guevara, | |
|
180 Floyd Ave, Rocky Mount, VA 24151-1318 | |
| (540) 483-5277 | |
| (540) 489-6459 |
| Full Name | Brandon Guevara |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 180 Floyd Ave, Rocky Mount, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992553226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110011776 (Virginia) | Primary |
| 363A00000X | Physician Assistant | 878 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charleston Area Medical Center Inc | 3375441637 | 969 |
| Carilion Medical Center | 9830096585 | 956 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Guevara, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5516 | Brandon Guevara, 180 Floyd Ave, Rocky Mount, VA 24151-1318 Ph: (540) 483-5277 |
Kirstin Rose Holland, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21230 Virgil H Goode Hwy, Rocky Mount, VA 24151 Phone: 540-352-4000 |
Jeffrey H Lawrence, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 390 S Main St, Suite 201, Rocky Mount, VA 24151 Phone: 540-484-4800 Fax: 540-484-4862 |
Elizabeth Wingfield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 390 S Main St, Rocky Mount, VA 24151 Phone: 540-483-5277 |
Laura K Rowles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 390 S Main St Ste 201, Rocky Mount, VA 24151 Phone: 540-484-4800 |
Kristen Elise Ross, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 390 S Main St Ste 201, Rocky Mount, VA 24151 Phone: 540-484-4800 |
Ashley B Amos, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 180 Floyd Ave, Rocky Mount, VA 24151 Phone: 540-483-5277 Fax: 540-489-6453 |
Emily Marie Waller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 390 S Main St, Suite 201, Rocky Mount, VA 24151 Phone: 540-484-4800 |