| Jacob P Bode, AG-ACNP | |
|
501 Sunset Ln, Culpeper, VA 22701-3917 | |
| (540) 829-4100 | |
| (540) 829-4392 |
| Full Name | Jacob P Bode |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 501 Sunset Ln, Culpeper, 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 |
|---|---|---|---|
| 1922848084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 0024189256 (Virginia) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 0024189256 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reston Hospital Center | Reston, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialty Physicians Of Northern Virginia Llc | 6709923915 | 9 |
| Entity Name | Specialty Physicians of Northern Virginia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114157054 PECOS PAC ID: 6709923915 Enrollment ID: O20091021000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob P Bode, AG-ACNP Po Box 749112, Atlanta, GA 30374-9112 Ph: Not Available | Jacob P Bode, AG-ACNP 501 Sunset Ln, Culpeper, VA 22701-3917 Ph: (540) 829-4100 |
Mrs. Jennifer Means Tenney, CRFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 Laurel St, Ste 3, Culpeper, VA 22701 Phone: 540-829-5032 |
Joanna J Wade, LNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 767 Madison Rd Ste 107, Culpeper, VA 22701 Phone: 540-850-0858 Fax: 540-825-5474 |
Maria S Bartleski, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16268 Bennett Rd, Culpeper, VA 22701 Phone: 540-825-6263 Fax: 540-825-4911 |
Brenda Jeffries, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Sunset Ln Ste 2210, Culpeper, VA 22701 Phone: 540-825-6100 Fax: 540-825-1829 |
Mrs. Rebecca Talley-mullins, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1043 Oaklawn Dr, Culpeper, VA 22701 Phone: 540-613-1825 |
Alondra Solorio, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 891 Willis Ln, Culpeper, VA 22701 Phone: 540-825-4557 Fax: 540-825-4566 |
Karen L Sisk, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Sunset Ln, Culpeper, VA 22701 Phone: 540-829-4900 |