| Christopher Deneault, | |
|
2900 Lamb Cir Ste 380, Christiansburg, VA 24073-6345 | |
| (540) 510-6200 | |
| (540) 633-0526 |
| Full Name | Christopher Deneault |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 2900 Lamb Cir Ste 380, Christiansburg, 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 |
|---|---|---|---|
| 1801343231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110005512 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Roanoke Memorial Hospital | Roanoke, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Healthcare Corporation | 5890607253 | 540 |
| Carilion Medical Center | 9830096585 | 956 |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Entity Name | Carilion Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
| Entity Name | Carilion Franklin Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710970918 PECOS PAC ID: 3173501269 Enrollment ID: O20040714000029 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Deneault, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5516 | Christopher Deneault, 2900 Lamb Cir Ste 380, Christiansburg, VA 24073-6345 Ph: (540) 510-6200 |
Carly Michele Porter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir Ste 302, Christiansburg, VA 24073 Phone: 540-731-2000 |
Kenneth E Mccolley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Spradlin Farm Dr, Christiansburg, VA 24073 Phone: 540-381-2745 |
Misty Justus, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Spradlin Farm Dr, Christiansburg, VA 24073 Phone: 540-381-2745 |
Jacob Dillon Gooden, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir Ste 302, Christiansburg, VA 24073 Phone: 540-731-2000 |
Ms. Olivia Ross Ferguson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Lamb Cir Ste L-760, Christiansburg, VA 24073 Phone: 540-510-6200 Fax: 540-857-5306 |
Ms. Tracy Kletzing, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Lamb Cir Ste 250, Christiansburg, VA 24073 Phone: 540-772-1514 |
Mr. Jeffrey Glen Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir, Suite 302, Christiansburg, VA 24073 Phone: 540-731-7600 Fax: 540-639-5400 |