| Aileen Marie Mckernan, | |
|
5924 Seminole Trl, Suite 108, Barboursville, VA 22923-1505 | |
| (434) 985-2198 | |
| Not Available |
| Full Name | Aileen Marie Mckernan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 5924 Seminole Trl, Barboursville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487981122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305206297 (Virginia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051 |
| Mailing Address | Practice Location Address |
|---|---|
| Aileen Marie Mckernan, 226 Burnet St, Charlottesville, VA 22902-6196 Ph: (434) 981-2701 | Aileen Marie Mckernan, 5924 Seminole Trl, Suite 108, Barboursville, VA 22923-1505 Ph: (434) 985-2198 |
Kira Memery, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5928 Seminole Trl, Suite 103, Barboursville, VA 22923 Phone: 434-985-2198 Fax: 434-985-3227 | |
Martine Barre, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6420 Seminole Trl, L4, Barboursville, VA 22923 Phone: 434-939-9524 Fax: 434-939-9679 | |
Samuel Clayton Mackay, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5928 Seminole Trl Ste 103, Barboursville, VA 22923 Phone: 434-985-2198 | |
Jordyn Sarah Robinson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5928 Seminole Trl Ste 103, Barboursville, VA 22923 Phone: 434-985-2198 Fax: 434-985-3227 |