| Mr Jonathan Richard Shelton, PA | |
|
245 Medical Park Dr Ste B, Marion, VA 24354-1100 | |
| (276) 378-1000 | |
| Not Available |
| Full Name | Mr Jonathan Richard Shelton |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 245 Medical Park Dr Ste B, Marion, Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063859544 | NPI | - | NPPES |
| 1063859544 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110004242 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wythe County Community Hospital | Wytheville, VA | Hospital |
| Smyth County Community Hospital | Marion, VA | Hospital |
| Raleigh General Hospital | Beckley, WV | Hospital |
| Twin County Regional Hospital | Galax, VA | Hospital |
| Lewisgale Hospital Pulaski | Pulaski, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Center Of The Blue Ridge | 4486876703 | 7 |
| Murray E Joiner Jr Md Pc | 4284637695 | 17 |
| Dlp Twin County Physician Practices Llc | 7214199512 | 119 |
| Entity Name | Murray E Joiner Jr MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326089822 PECOS PAC ID: 4284637695 Enrollment ID: O20060824000092 |
| Entity Name | Dlp Twin County Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962078527 PECOS PAC ID: 7214199512 Enrollment ID: O20120503000011 |
| Entity Name | Pain Center of the Blue Ridge |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245644533 PECOS PAC ID: 4486876703 Enrollment ID: O20141120001709 |
| Entity Name | Skyline Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376495333 PECOS PAC ID: 2365914637 Enrollment ID: O20260617003357 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan Richard Shelton, PA 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Mr Jonathan Richard Shelton, PA 245 Medical Park Dr Ste B, Marion, VA 24354-1100 Ph: (276) 378-1000 |
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 |
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 |
Maliha Salique, Physician Assistant Medicare: Medicare Enrolled Practice Location: 565 Radio Hill Rd, Marion, VA 24354 Phone: 276-944-6342 |