| Danielle Nicole Lodge, | |
|
582 Blue Ridge Ave, Bedford, VA 24523-2604 | |
| (540) 425-7910 | |
| Not Available |
| Full Name | Danielle Nicole Lodge |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 582 Blue Ridge Ave, Bedford, 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 |
|---|---|---|---|
| 1699626515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110011717 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Johnson Health Center | 9537060413 | 39 |
| Entity Name | Johnson Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316926538 PECOS PAC ID: 9537060413 Enrollment ID: O20040709000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Nicole Lodge, 205 Wellington Rd, Summerville, SC 29485-5146 Ph: Not Available | Danielle Nicole Lodge, 582 Blue Ridge Ave, Bedford, VA 24523-2604 Ph: (540) 425-7910 |
Jaena Michelle Dominguez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1613 Oakwood St, Bedford, VA 24523 Phone: 843-494-8441 |
Ms. Sloane Kelly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1613 Oakwood St Ste 201, Bedford, VA 24523 Phone: 540-586-7273 |
Daniel Goshorn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1368 American Way, Bedford, VA 24523 Phone: 540-587-8612 |
Mrs. Alexis R Chantal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 876a E Main St, Bedford, VA 24523 Phone: 434-947-5321 Fax: 434-947-5324 |
Kelly P Dinh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1613 Oakwood St, Bedford, VA 24523 Phone: 540-586-2441 |
Riley Shay Garrette, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 548 Blue Ridge Ave, Bedford, VA 24523 Phone: 540-568-4723 |
Jason Page Meador, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1613 Oakwood St, Bedford, VA 24523 Phone: 540-425-7550 |