| Mark Stuart Hayward, PHYSICIAN ASSISTANT | |
|
4026 Wards Rd Ste G1, Medical Department #138, Lynchburg, VA 24502-0060 | |
| (703) 852-7278 | |
| (703) 859-7644 |
| Full Name | Mark Stuart Hayward |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4026 Wards Rd Ste G1, Lynchburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427194315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002626 (Virginia) | Primary |
| 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 |
|---|---|
| Mark Stuart Hayward, PHYSICIAN ASSISTANT 2137 Lakeside Dr, Ste 100, Lynchburg, VA 24501-6808 Ph: (703) 852-7278 | Mark Stuart Hayward, PHYSICIAN ASSISTANT 4026 Wards Rd Ste G1, Medical Department #138, Lynchburg, VA 24502-0060 Ph: (703) 852-7278 |
Megan Ann Allison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Candlewood Ct, Lynchburg, VA 24502 Phone: 434-363-4190 Fax: 434-363-4191 |
Colin Malcolm, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 Nationwide Dr, Lynchburg, VA 24502 Phone: 434-200-3908 |
Gillian Gondi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 Paddington Ct, Lynchburg, VA 24503 Phone: 434-386-7113 |
Mr. Paul Edward Foster, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2137 Lakeside Dr, Ste 100, Lynchburg, VA 24501 Phone: 434-385-4184 Fax: 434-385-8616 |
Penelope Moore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Po Box 11646, Lynchburg, VA 24506 Phone: 434-200-5203 Fax: 434-200-7529 |
Miss Marnie Hudson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2138 Langhorne Rd, Lynchburg, VA 24501 Phone: 434-947-3920 Fax: 434-947-3924 |
Jennifer S Mccurley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1971 University Blvd, Suite 1895, Lynchburg, VA 24515 Phone: 434-338-7774 Fax: 434-338-7773 |