Sophia A Dannouf, is a medicare enrolled "Physician Assistant" in Dillwyn, Virginia. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Centra Medical Group Llc and her current practice location is
65 Brickyard Dr, Dillwyn, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 317-3785.
Sophia A Dannouf is licensed to practice in Virginia (license number 0110010706) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609695899.
Provider's Profile
| Full Name | Sophia A Dannouf |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 65 Brickyard Dr, Dillwyn, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sophia A Dannouf graduated from nursing school in 2024
NPI Data:
- NPI Number: 1609695899
- Provider Enumeration Date: 10/07/2024
- Last Update Date: 02/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214455468
- Enrollment ID: I20250520004667
Medical Identifiers
Medical identifiers for Sophia A Dannouf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609695899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0110010706 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Centra Medical Group Llc | 4789606088 | 681 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophia A Dannouf is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Sophia A Dannouf,
5412 Macalpine Cir Apt 1333,
Glen Allen, VA 23059-5574
Ph: () - | Sophia A Dannouf,
65 Brickyard Dr,
Dillwyn, VA 23936-3361
Ph: (804) 317-3785 |
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