| Dennis J Cotellese, NP | |
|
3700 S Main St, Blacksburg, VA 24060-7017 | |
| (540) 951-1111 | |
| Not Available |
| Full Name | Dennis J Cotellese |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 3700 S Main St, Blacksburg, 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 |
|---|---|---|---|
| 1922173327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024164053 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lewisgale Hospital Alleghany | Low moor, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ingleside Emergency Group Llc | 1355698317 | 29 |
| Lake Spring Emergency Group Llc | 6406103498 | 51 |
| Emergency Coverage Llc | 3072412592 | 761 |
| Wildwood Emergency Group, Llc | 4789932385 | 35 |
| Entity Name | Emergency Physicians of Southern Virginia LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417187667 PECOS PAC ID: 0345236568 Enrollment ID: O20040422001520 |
| Entity Name | Emergency Coverage LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Emergency Coverage Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20061003000679 |
| Entity Name | Ingleside Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144712662 PECOS PAC ID: 1355698317 Enrollment ID: O20180720002968 |
| Entity Name | Lake Spring Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173 |
| Entity Name | Wildwood Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013409721 PECOS PAC ID: 4789932385 Enrollment ID: O20180730001151 |
| Entity Name | Kingsford Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336631480 PECOS PAC ID: 3870841117 Enrollment ID: O20180802003435 |
| Entity Name | Kingsford Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871088526 PECOS PAC ID: 0840541017 Enrollment ID: O20180927000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis J Cotellese, NP 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 Ph: (888) 730-6355 | Dennis J Cotellese, NP 3700 S Main St, Blacksburg, VA 24060-7017 Ph: (540) 951-1111 |
Anthony Ray Ramsey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 810 Hospital Dr, Blacksburg, VA 24060 Phone: 540-951-3311 Fax: 540-552-8564 |
Natalie Cole, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 809 Davis St, Blacksburg, VA 24060 Phone: 540-961-1590 |
Theresa Ann Buchanan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Charles W Schiffert Health Ctr, Mccomas Hall, Blacksburg, VA 24061 Phone: 540-231-5313 Fax: 540-231-7473 |
Mrs. Kristie Lynn Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 South Main Street, Blacksburg, VA 24060 Phone: 540-953-5385 |
Susan I Gaither, RNCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3708 S Main St, Blacksburg, VA 24060 Phone: 540-951-3376 Fax: 540-951-1276 |
Amanda Mitchell Hale, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 829 Davis St, Blacksburg, VA 24060 Phone: 540-443-3940 |
James Weiss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3708 S Main St, Blacksburg, VA 24060 Phone: 304-575-3449 |