| Channing John Heller, | |
|
78 Medical Center Drive, Attn: Emergency Department, Fishersville, VA 22939 | |
| (540) 332-4423 | |
| (540) 332-5658 |
| Full Name | Channing John Heller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 78 Medical Center Drive, Fishersville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093236812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110005824 (Virginia) | Primary |
| Entity Name | Shenandoah Emergency Medicine Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083706121 PECOS PAC ID: 0345343620 Enrollment ID: O20070306000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Channing John Heller, 78 Medical Center Drive, Attn: Emergency Department, Fishersville, VA 22939 Ph: (540) 332-4423 | Channing John Heller, 78 Medical Center Drive, Attn: Emergency Department, Fishersville, VA 22939 Ph: (540) 332-4423 |
Matthew T Hoy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 78 Medical Center Drive, Fishersville, VA 22939 Phone: 540-932-4074 Fax: 540-932-5199 |
Kelli Burnett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 70 Medical Center Cir Ste 103, Fishersville, VA 22939 Phone: 540-245-7400 Fax: 540-245-7401 |
Hannah Kukla, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 53 S Medical Park Dr, Fishersville, VA 22939 Phone: 540-332-5687 Fax: 540-332-5688 |
Mrs. Diane S Semenov, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 243 Woodrow Wilson Ave, Fishersville, VA 22939 Phone: 540-332-7235 Fax: 540-332-7235 |
Rachel Stepp, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15 Sports Medicine Dr., Suite, Fishersville, VA 22939 Phone: 540-245-7180 Fax: 540-245-7181 |
Monica Elise Eaton Bowler, Physician Assistant Medicare: Medicare Enrolled Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-332-4000 |
Evelyn A Ahlfield, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 57 Beam Ln Ste 205, Fishersville, VA 22939 Phone: 434-243-7121 Fax: 434-243-7122 |