| Ms Carol Sue Cdebaca, PA-C | |
|
101 Knotbreak Rd, Salem, VA 24153-5404 | |
| (540) 444-4020 | |
| (540) 857-5306 |
| Full Name | Ms Carol Sue Cdebaca |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 101 Knotbreak Rd, Salem, 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 |
|---|---|---|---|
| 1154518900 | NPI | - | NPPES |
| 1154518900 | Other | VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY |
| P01464014 | Other | VA | RAILROAD MEDICARE |
| 1154518900 | Other | VA | IN TOTAL |
| 1154518900 | Other | VA | MEDICAID QMB |
| 1154518900 | Other | VA | AETNA |
| 1154518900 | Other | VA | CCC VIRGINIA PREMIER |
| 1154518900 | Other | VA | OPTIMA HEALTH PLAN |
| 540506332115 | Other | VA | TRICARE |
| 1154518900 | Other | VA | HUMANA MEDICARE |
| 1154518900 | Other | VA | ANTHEM MEDIGAP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 0110002628 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cjw Medical Center | Richmond, VA | Hospital |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| John Randolph Medical Center | Hopewell, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 2654 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carol Sue Cdebaca, PA-C 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 Ph: (540) 725-1226 | Ms Carol Sue Cdebaca, PA-C 101 Knotbreak Rd, Salem, VA 24153-5404 Ph: (540) 444-4020 |
Portia S Tomlinson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mr. Paul Ashley Yeaman, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-1057 | |
Mr. Andrew Thomas Tokarsky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mrs. Kaitlin Scott Daniels, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Knotbreak Rd, Salem, VA 24153 Phone: 540-444-5670 Fax: 540-444-5669 | |
Amy Betterton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Anna Coffey Morris, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Adam Lunnie, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-776-4970 |