| George L Wade Jr, PA | |
|
173 Executive Dr, Danville, VA 24541-4101 | |
| (434) 792-0123 | |
| (434) 792-0144 |
| Full Name | George L Wade Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 173 Executive Dr, Danville, 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 |
|---|---|---|---|
| 1912993361 | NPI | - | NPPES |
| 005865760 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110001818 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Urgent Care Llc | 6709256142 | 125 |
| Entity Name | Medexpress Urgent Care, PC - Virginia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215219878 PECOS PAC ID: 3173797586 Enrollment ID: O20111123000505 |
| Entity Name | Bon Secours Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265160501 PECOS PAC ID: 6709256142 Enrollment ID: O20221230000566 |
| Mailing Address | Practice Location Address |
|---|---|
| George L Wade Jr, PA 173 Executive Dr, Danville, VA 24541-4101 Ph: (434) 792-0123 | George L Wade Jr, PA 173 Executive Dr, Danville, VA 24541-4101 Ph: (434) 792-0123 |
Casey Alexander Marsh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2100 |
Tina Smith Gatewood, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 705 Main St, Danville, VA 24541 Phone: 434-791-4123 Fax: 434-791-4126 |
Marian Taylor Strange Mizelle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 117 Executive Dr, Danville, VA 24541 Phone: 434-792-0423 |
Larry C. Phillips Ii, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 441 E Piney Forest Rd, Danville, VA 24540 Phone: 434-791-4110 |
Mr. Robert Wayne Hoffert, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Enterprise Dr, Danville, VA 24540 Phone: 434-791-2273 |
Dillon Garrett Phillips, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-713-5696 |
Jeremy Shifflett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 133 Enterprise Dr, Danville, VA 24540 Phone: 434-792-2907 |