| Jared Waters, | |
|
5673 Airport Rd, Roanoke, VA 24012-1119 | |
| (540) 523-8080 | |
| Not Available |
| Full Name | Jared Waters |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 5673 Airport Rd, Roanoke, 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 |
|---|---|---|---|
| 1023701927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110009479 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intercept Youth Services Inc | 2466748744 | 4 |
| Entity Name | Intercept Youth Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730608217 PECOS PAC ID: 2466748744 Enrollment ID: O20160913001490 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Waters, 3111 Grayland Ave, Richmond, VA 23221-3527 Ph: Not Available | Jared Waters, 5673 Airport Rd, Roanoke, VA 24012-1119 Ph: (540) 523-8080 |
Sarah Alyse Guzinski-homcha, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 Phone: 540-853-0100 |
Ms. Kathryn Conrad Hoyt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2331 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-725-1226 Fax: 540-857-5306 |
Allison Elisabeth Basiley, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Elm Ave Se, Roanoke, VA 24013 Phone: 540-831-1684 |
Mr. Jason Andrew Peery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2331 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-510-6200 Fax: 540-857-5306 |
Nicole Maalouf Shively, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1622 Westover Ave Sw, Roanoke, VA 24015 Phone: 339-368-1887 |
Mrs. Melissa L Swihart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4035 Electric Rd Ste A, Roanoke, VA 24018 Phone: 540-772-8670 Fax: 540-772-7901 |
Daniel Crosby, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 |