Laura Lee Tiller, NP | |
19380 Us Hwy 58, Castlewood, VA 24224 | |
(276) 762-2172 | |
(276) 762-5039 |
Full Name | Laura Lee Tiller |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 19380 Us Hwy 58, Castlewood, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639755234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0024180161 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024180161 (Virginia) | Primary |
Entity Name | Wellmont Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174808216 PECOS PAC ID: 8123291739 Enrollment ID: O20120627000467 |
Entity Name | New Life Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114462215 PECOS PAC ID: 9436434909 Enrollment ID: O20201021002606 |
Entity Name | Spero Health Of Virginia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104465103 PECOS PAC ID: 5193102788 Enrollment ID: O20220520000859 |
Mailing Address | Practice Location Address |
---|---|
Laura Lee Tiller, NP 142 Highland Dr, Lebanon, VA 24266-4636 Ph: (276) 889-0386 | Laura Lee Tiller, NP 19380 Us Hwy 58, Castlewood, VA 24224 Ph: (276) 762-2172 |
Angela Fields, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Ridgeway Dr, Castlewood, VA 24224 Phone: 276-794-9165 | |
Santana Woods, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 671 Gravel Lick Rd, Castlewood, VA 24224 Phone: 276-791-1897 |