| Mr Wilton Craig Kennedy, PA-C | |
|
2620 Avenham Ave Sw, Roanoke, VA 24014-1507 | |
| (540) 985-4016 | |
| Not Available |
| Full Name | Mr Wilton Craig Kennedy |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 33 Years |
| Location | 2620 Avenham Ave Sw, Roanoke, 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 |
|---|---|---|---|
| 1154475267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110 001184 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roanoke Valley Healthcare Partners Llc | 0143490326 | 53 |
| Entity Name | Roanoke Valley Healthcare Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619274446 PECOS PAC ID: 0143490326 Enrollment ID: O20110825000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wilton Craig Kennedy, PA-C 2620 Avenham Ave Sw, Roanoke, VA 24014-1507 Ph: (540) 985-4016 | Mr Wilton Craig Kennedy, PA-C 2620 Avenham Ave Sw, Roanoke, VA 24014-1507 Ph: (540) 985-4016 |
Sarah Alyse Guzinski-homcha, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 Phone: 540-853-0100 |
Ms. Kathryn Conrad Hoyt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2331 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-725-1226 Fax: 540-857-5306 |
Allison Elisabeth Basiley, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Elm Ave Se, Roanoke, VA 24013 Phone: 540-831-1684 |
Mr. Jason Andrew Peery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2331 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-510-6200 Fax: 540-857-5306 |
Nicole Maalouf Shively, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1622 Westover Ave Sw, Roanoke, VA 24015 Phone: 339-368-1887 |
Jared Waters, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5673 Airport Rd, Roanoke, VA 24012 Phone: 540-523-8080 |
Mrs. Melissa L Swihart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4035 Electric Rd Ste A, Roanoke, VA 24018 Phone: 540-772-8670 Fax: 540-772-7901 |