| Mabel Mccorrison, FNP | |
|
22890 Virgil Goode Hwy, Boones Mill, VA 24065 | |
| (540) 344-5511 | |
| (540) 344-3174 |
| Full Name | Mabel Mccorrison |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 22890 Virgil Goode Hwy, Boones Mill, 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 |
|---|---|---|---|
| 1639278690 | NPI | - | NPPES |
| 1639278690 | Medicaid | VA | |
| PENDING | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024166899 (Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 0024166899 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Franklin Memorial Hospital | Rocky mount, VA | Hospital |
| Carilion Medical Center | Roanoke, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carilion Giles Community Hospital | 3678670221 | 166 |
| 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 |
|---|---|
| Mabel Mccorrison, FNP 213 S Jefferson St Ste 625, Roanoke, VA 24011-1713 Ph: (540) 224-5516 | Mabel Mccorrison, FNP 22890 Virgil Goode Hwy, Boones Mill, VA 24065 Ph: (540) 344-5511 |
Crystal Dawn Lowder-tibbs, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1054 Boones Mill Rd, Boones Mill, VA 24065 Phone: 276-724-0967 |