| Abingdon Family Practice Pc | |
|
617 Campus Dr Abingdon VA 24210-9700 | |
| (276) 628-1186 | |
| (276) 628-8507 |
| Full Name | Abingdon Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 617 Campus Dr, Abingdon, Virginia |
| Authorized Official Name and Position | Simon P Pennings (PRESIDENT) |
| Authorized Official Contact | 2766281186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abingdon Family Practice Pc 617 Campus Dr Abingdon VA 24210-9700 Ph: (276) 628-1186 | Abingdon Family Practice Pc 617 Campus Dr Abingdon VA 24210-9700 Ph: (276) 628-1186 |
| NPI Number | 1033108857 |
|---|---|
| Provider Enumeration Date | 10/14/2005 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033108857 | NPI | - | NPPES |
| 005607531 | Medicaid | VA | |
| 5752880001 | Other | VA | MEDICARE NCS |
| 005641802 | Medicaid | VA | |
| 005642507 | Medicaid | VA | |
| 064411 | Other | ANTHEM | |
| 5603067 | Other | AETNA | |
| 2102748 | Other | MAMSI | |
| 460464 | Other | ANTHEM | |
| 5756306 | Other | AETNA | |
| C03006 | Other | VA | MEDICARE PROVIDER |
| 226900 | Other | ANTHEM | |
| 3054602 | Other | BLUE CLASSIE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 860 Wolf Creek Trl, Abingdon, VA 24210 Phone: 877-367-9772 | |
Med-peds Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 Johnson St Ne, Abingdon, VA 24210 Phone: 276-623-8105 Fax: 276-623-8109 | |
Abingdon Physician Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Abingdon Pl, Abingdon, VA 24211 Phone: 276-623-8133 Fax: 276-623-2471 | |
Blue Ridge Medical Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16000 Johnston Memorial Dr, Fourth Floor, Abingdon, VA 24211 Phone: 276-258-4050 Fax: 276-258-4056 | |
Blue Ridge Medical Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16000 Johnston Memorial Dr, Suite 313b, Abingdon, VA 24211 Phone: 276-258-3770 Fax: 276-258-3785 | |
Preston Square Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24294 Teal Drive, Abingdon, VA 24211 Phone: 276-628-8303 Fax: 276-466-4815 |