| Jacob Albert Wooten, PA-C | |
|
162 Mallard Ln, Lynchburg, VA 24502-1154 | |
| (434) 420-1816 | |
| Not Available |
| Full Name | Jacob Albert Wooten |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 162 Mallard Ln, Lynchburg, 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 |
|---|---|---|---|
| 1629648209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110008161 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centra Health, Inc | Lynchburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centra Medical Group Llc | 4789606088 | 709 |
| Entity Name | Centra Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Albert Wooten, PA-C 162 Mallard Ln, Lynchburg, VA 24502-1154 Ph: (434) 420-1816 | Jacob Albert Wooten, PA-C 162 Mallard Ln, Lynchburg, VA 24502-1154 Ph: (434) 420-1816 |
Megan Ann Allison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Candlewood Ct, Lynchburg, VA 24502 Phone: 434-363-4190 Fax: 434-363-4191 |
Colin Malcolm, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 Nationwide Dr, Lynchburg, VA 24502 Phone: 434-200-3908 |
Gillian Gondi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 Paddington Ct, Lynchburg, VA 24503 Phone: 434-386-7113 |
Mr. Paul Edward Foster, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2137 Lakeside Dr, Ste 100, Lynchburg, VA 24501 Phone: 434-385-4184 Fax: 434-385-8616 |
Penelope Moore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Po Box 11646, Lynchburg, VA 24506 Phone: 434-200-5203 Fax: 434-200-7529 |
Miss Marnie Hudson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2138 Langhorne Rd, Lynchburg, VA 24501 Phone: 434-947-3920 Fax: 434-947-3924 |
Jennifer S Mccurley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1971 University Blvd, Suite 1895, Lynchburg, VA 24515 Phone: 434-338-7774 Fax: 434-338-7773 |