| Laura Davis, PA | |
|
100 Knotbreak Rd, Salem, VA 24153 | |
| (540) 444-5670 | |
| (540) 444-5669 |
| Full Name | Laura Davis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 100 Knotbreak Rd, Salem, 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 |
|---|---|---|---|
| 1154571446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110002895 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Pain Management Associates, Pc | 5395806939 | 11 |
| Privia Medical Group, Llc | 4385682061 | 1522 |
| Entity Name | Blue Ridge Pain Management Associates, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518118330 PECOS PAC ID: 5395806939 Enrollment ID: O20081202000073 |
| Entity Name | Privia Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Davis, PA 100 Knotbreak Rd, Salem, VA 24153-5414 Ph: (540) 444-5670 | Laura Davis, PA 100 Knotbreak Rd, Salem, VA 24153 Ph: (540) 444-5670 |
Portia S Tomlinson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 |
Mr. Paul Ashley Yeaman, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-1057 |
Mr. Andrew Thomas Tokarsky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 |
Mrs. Kaitlin Scott Daniels, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Knotbreak Rd, Salem, VA 24153 Phone: 540-444-5670 Fax: 540-444-5669 |
Amy Betterton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 |
Anna Coffey Morris, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 |
Adam Lunnie, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-776-4970 |