| Jared Todd Brizendine, PA | |
|
1215 Lee St, Charlottesville, VA 22908-0816 | |
| (434) 924-9055 | |
| Not Available |
| Full Name | Jared Todd Brizendine |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 1215 Lee St, Charlottesville, 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 |
|---|---|---|---|
| 1407472863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-2436 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | 0110007130 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kootenai Health Inc | 1355792276 | 394 |
| Kootenai Urgent Care Llc | 1052441946 | 19 |
| Entity Name | Kootenai Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
| Entity Name | Kootenai Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821312356 PECOS PAC ID: 1052441946 Enrollment ID: O20100621000358 |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Todd Brizendine, PA Po Box 801444, Charlottesville, VA 22908-0001 Ph: Not Available | Jared Todd Brizendine, PA 1215 Lee St, Charlottesville, VA 22908-0816 Ph: (434) 924-9055 |
Mr. Reagan Williams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1221 Lee St, Charlottesville, VA 22908 Phone: 434-243-1000 Fax: 434-244-7551 |
Nicole M Frank, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1215 Lee St, 7th Floor, Charlottesville, VA 22908 Phone: 434-982-1707 Fax: 434-982-3843 |
Miss Diana C Wargel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-1000 Fax: 434-243-7551 |
Brittany Drozdo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-9055 |
Bryan V. Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2283 Fax: 434-982-0019 |
Alyssa M Denegri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2101 |
Melissa Volpe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7000 |