| Levi Samuel Widener, | |
|
245 Medical Park Dr Ste B, Marion, VA 24354 | |
| (276) 378-3020 | |
| Not Available |
| Full Name | Levi Samuel Widener |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 245 Medical Park Dr Ste B, Marion, 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 |
|---|---|---|---|
| 1306512371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110008072 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 4743 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Smyth County Community Hospital | Marion, VA | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Russell County Hospital | Lebanon, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Abingdon Physician Partners | 5991705667 | 39 |
| Entity Name | Abingdon Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306944350 PECOS PAC ID: 5991705667 Enrollment ID: O20070102000365 |
| Entity Name | Universal Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407117625 PECOS PAC ID: 5597912626 Enrollment ID: O20120824000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Levi Samuel Widener, 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111 | Levi Samuel Widener, 245 Medical Park Dr Ste B, Marion, VA 24354 Ph: (276) 378-3020 |
Noah Christian Cook, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 804-980-1882 |
Ginger Rose Deel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-944-6342 |
Anna Meadows, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-944-6342 |
Mr. Jonathan Richard Shelton, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 245 Medical Park Dr Ste B, Marion, VA 24354 Phone: 276-378-1000 |
Sophia Von Dauber, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 919-548-6047 |
Hannah Green, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-944-6342 |
Mrs. Maggie Anne Gilman Alley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1204 N Main St, Marion, VA 24354 Phone: 276-783-2511 |