| Atlantic Telehealth Inc | |
|
14820 Lee Hwy Amissville VA 20106-4228 | |
| (571) 249-2493 | |
| Not Available |
| Full Name | Atlantic Telehealth Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14820 Lee Hwy, Amissville, Virginia |
| Authorized Official Name and Position | Andrew Forrest Kohler (PRESIDENT) |
| Authorized Official Contact | 5712492493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Telehealth Inc 14820 Lee Hwy Amissville VA 20106-4228 Ph: (571) 249-2493 | Atlantic Telehealth Inc 14820 Lee Hwy Amissville VA 20106-4228 Ph: (571) 249-2493 |
| NPI Number | 1831803238 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 07/25/2023 |
| Medicare PECOS PAC ID | 6002288628 |
|---|---|
| Medicare Enrollment ID | O20230208001538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831803238 | NPI | - | NPPES |
| Provider Name | Thomas E Achter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578873394 PECOS PAC ID: 7618159864 Enrollment ID: I20110308001065 |
| Provider Name | Sai Diwakar Kuchibhotla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548570039 PECOS PAC ID: 7911196472 Enrollment ID: I20130424000837 |
| Provider Name | Krista Kohler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801328141 PECOS PAC ID: 0345513610 Enrollment ID: I20200617001129 |
| Provider Name | Andrew Kohler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568993475 PECOS PAC ID: 5991078354 Enrollment ID: I20200623000940 |