| Sierra Church, PA-C | |
|
80 College St Ste E, Christiansburg, VA 24073-2985 | |
| (540) 251-3472 | |
| Not Available |
| Full Name | Sierra Church |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 80 College St Ste E, Christiansburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760966824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110006397 (Virginia) | Primary |
| Entity Name | Orthovirginia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Church, PA-C 80 College St Ste E, Christiansburg, VA 24073-2985 Ph: Not Available | Sierra Church, PA-C 80 College St Ste E, Christiansburg, VA 24073-2985 Ph: (540) 251-3472 |
Carly Michele Porter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir Ste 302, Christiansburg, VA 24073 Phone: 540-731-2000 |
Kenneth E Mccolley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Spradlin Farm Dr, Christiansburg, VA 24073 Phone: 540-381-2745 |
Misty Justus, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Spradlin Farm Dr, Christiansburg, VA 24073 Phone: 540-381-2745 |
Jacob Dillon Gooden, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir Ste 302, Christiansburg, VA 24073 Phone: 540-731-2000 |
Ms. Olivia Ross Ferguson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Lamb Cir Ste L-760, Christiansburg, VA 24073 Phone: 540-510-6200 Fax: 540-857-5306 |
Ms. Tracy Kletzing, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Lamb Cir Ste 250, Christiansburg, VA 24073 Phone: 540-772-1514 |
Mr. Jeffrey Glen Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2900 Lamb Cir, Suite 302, Christiansburg, VA 24073 Phone: 540-731-7600 Fax: 540-639-5400 |