| Traci L Mahoney, PA | |
|
545 Ray C Hunt Dr Ste 140, Charlottesville, VA 22903 | |
| (434) 243-0245 | |
| (434) 243-0242 |
| Full Name | Traci L Mahoney |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 545 Ray C Hunt Dr Ste 140, Charlottesville, 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 |
|---|---|---|---|
| 1376829184 | NPI | - | NPPES |
| 03427667 | Medicaid | NY | |
| 1376829184 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110006132 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Martha Jefferson Hospital | Charlottesville, VA | Hospital |
| Sentara Rmh Medical Center | Harrisonburg, VA | Hospital |
| Uva Health Culpeper Medical Center | Culpeper, VA | Hospital |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Physical Therapy Holdings Inc | 9537076401 | 1992 |
| Thunder Orthopedics, Llc | 3870962137 | 3 |
| Entity Name | University of Virginia Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
| Entity Name | Thunder Orthopedics, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760107031 PECOS PAC ID: 3870962137 Enrollment ID: O20221207002977 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci L Mahoney, PA 300 Hickman Rd Ste 202, Charlottesville, VA 22911-3554 Ph: (434) 326-5815 | Traci L Mahoney, PA 545 Ray C Hunt Dr Ste 140, Charlottesville, VA 22903 Ph: (434) 243-0245 |
Mr. Reagan Williams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1221 Lee St, Charlottesville, VA 22908 Phone: 434-243-1000 Fax: 434-244-7551 |
Nicole M Frank, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1215 Lee St, 7th Floor, Charlottesville, VA 22908 Phone: 434-982-1707 Fax: 434-982-3843 |
Miss Diana C Wargel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-1000 Fax: 434-243-7551 |
Brittany Drozdo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-9055 |
Bryan V. Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2283 Fax: 434-982-0019 |
Alyssa M Denegri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2101 |
Melissa Volpe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7000 |