| Kristina O Roach, PA | |
|
1870 Amherst St Ste 2b, Winchester, VA 22601-2841 | |
| (540) 536-2790 | |
| (540) 536-2791 |
| Full Name | Kristina O Roach |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 1870 Amherst St Ste 2b, Winchester, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346200896 | NPI | - | NPPES |
| 1346200896 | Medicaid | VA | |
| 007008S71 | Other | VA | MEDICARE PIN (OLD) |
| P00734696 | Other | VA | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110840646 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winchester Medical Center | Winchester, VA | Hospital |
| Shenandoah Memorial Hospital | Woodstock, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winchester Medical Center | 0244134021 | 313 |
| Entity Name | Winchester Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679711261 PECOS PAC ID: 0244134021 Enrollment ID: O20031124000061 |
| Entity Name | Shenandoah Head and Neck Specialists, PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659478485 PECOS PAC ID: 7416908546 Enrollment ID: O20050207000555 |
| Entity Name | Valley Physician Enterprise Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538316203 PECOS PAC ID: 9931268091 Enrollment ID: O20081104000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina O Roach, PA 220 Campus Blvd Ste 100, Winchester, VA 22601-2896 Ph: (540) 536-5100 | Kristina O Roach, PA 1870 Amherst St Ste 2b, Winchester, VA 22601-2841 Ph: (540) 536-2790 |
Miss Kathryn Marie Hamer, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 607 E Jubal Early Dr, Winchester, VA 22601 Phone: 540-536-5100 |
Erica Joia Ranosa, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1775 N Sector Ct Ste 200, Winchester, VA 22601 Phone: 540-542-6208 |
Rebecca L Dawley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1828 Plaza Dr, Winchester, VA 22601 Phone: 540-662-9115 Fax: 540-665-0411 |
Jason Iden, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1775 N Sector Ct Ste 200, Winchester, VA 22601 Phone: 540-542-6208 |
William A Bruening, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1870 Amherst St Ste 2b, Winchester, VA 22601 Phone: 540-536-7790 Fax: 540-536-7789 |
Ramziddin Khalmuratov, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1840 Amherst St, Winchester, VA 22601 Phone: 540-536-4555 Fax: 540-536-5529 |
Leah Rose Rearick, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1870 Amherst St Ste 2b, Suite 2b, Winchester, VA 22601 Phone: 540-536-6721 Fax: 540-536-6724 |