| Joseph Lewis Clark, | |
|
159 Hartley Way, Pearisburg, VA 24134-2471 | |
| (540) 921-6000 | |
| Not Available |
| Full Name | Joseph Lewis Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 159 Hartley Way, Pearisburg, 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 |
|---|---|---|---|
| 1740003805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0110010546 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Giles Community Hospital | Pearisburg, VA | Hospital |
| Carilion New River Valley Medical Center | Christiansburg, VA | Hospital |
| Carilion Roanoke Memorial Hospital | Roanoke, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Giles Community Hospital | 3678670221 | 223 |
| Entity Name | Carilion Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
| Entity Name | Carilion Giles Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Lewis Clark, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: (540) 224-5353 | Joseph Lewis Clark, 159 Hartley Way, Pearisburg, VA 24134-2471 Ph: (540) 921-6000 |
Alex Cervantes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-921-6000 |
Benjamin Garland Miller, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-922-4350 Fax: 540-921-2761 |
Madelyn Onesti, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-921-6000 |
Ms. Brittany Taylor Davidson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 Boxwood Ln, Pearisburg, VA 24134 Phone: 540-921-6110 |
Veronika Paige Millard, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 430 Boxwood Ln, Pearisburg, VA 24134 Phone: 423-416-1730 |
Scott Joseph Sharbaugh, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-921-6000 Fax: 540-921-5606 |
Kimberlee R Ketchersid, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 159 Hartley Way, Pearisburg, VA 24134 Phone: 540-921-6000 |