| Paulina Amoah, | |
|
104 Carolina Ave, Brookneal, VA 24528-2643 | |
| (434) 376-2325 | |
| Not Available |
| Full Name | Paulina Amoah |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 104 Carolina Ave, Brookneal, 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 |
|---|---|---|---|
| 1467112821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN357353 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024190353 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centra Health Home Health Services | Lynchburg, VA | Home health agency |
| Centra Health - Lynchburg Gen Hospital | Lynchburg, VA | Hospital |
| Centra Southside Community Hospital, Inc | Farmville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centra Medical Group Llc | 4789606088 | 713 |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Paulina Amoah, 655 S Willow St Ste 128, Manchester, NH 03103-5723 Ph: () - | Paulina Amoah, 104 Carolina Ave, Brookneal, VA 24528-2643 Ph: (434) 376-2325 |
Kerri Shepheard Rundstrom, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Carolina Ave, Brookneal, VA 24528 Phone: 434-376-2325 | |
Kimberly Diane Altizer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Carolina Ave, Brookneal, VA 24528 Phone: 434-376-2325 |