| Envision Professional Group, Pllc | |
|
1020 Terrace Dr Suite 100 Marion VA 24354 | |
| (276) 783-5157 | |
| (276) 783-5159 |
| Full Name | Envision Professional Group, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1020 Terrace Dr, Marion, Virginia |
| Authorized Official Name and Position | Tina B Blevins (ADMINISTRATOR) |
| Authorized Official Contact | 2767835157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Professional Group, Pllc 1020 Terrace Dr Suite 100 Marion VA 24354-4392 Ph: (276) 783-5157 | Envision Professional Group, Pllc 1020 Terrace Dr Suite 100 Marion VA 24354 Ph: (276) 783-5157 |
| NPI Number | 1427155472 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 02/20/2020 |
| Medicare PECOS PAC ID | 6406837145 |
|---|---|
| Medicare Enrollment ID | O20040527000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427155472 | NPI | - | NPPES |
| 9234080 | Medicaid | VA | |
| 009234080 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0618000072 (Virginia) | Primary |
| Provider Name | Amy R Blue |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639307010 PECOS PAC ID: 6002962693 Enrollment ID: I20090923000527 |
| Provider Name | Anita Susan Keene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013014067 PECOS PAC ID: 2567443203 Enrollment ID: I20120112000366 |
Blue Ridge Medical Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 Snider St, Marion, VA 24354 Phone: 276-783-5148 Fax: 276-783-6716 | |
Blue Ridge Medical Management Corpoartion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Brunswick Ln, Marion, VA 24354 Phone: 276-783-9687 Fax: 276-783-1310 | |
The Garzon Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 Culbert Drive, Marion, VA 24354 Phone: 276-783-7913 Fax: 276-783-1882 | |
Dave Parker Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1224 Greer Ave, Marion, VA 24354 Phone: 276-920-7242 | |
Blue Ridge Medical Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Medical Park Dr, Suite C, Marion, VA 24354 Phone: 276-378-3300 Fax: 276-378-1265 | |
Blue Ridge Medical Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Medical Park Dr, Suite E, Marion, VA 24354 Phone: 276-258-3600 Fax: 276-258-3605 | |
Smyth County Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 Snider Street, Marion, VA 24354 Phone: 276-783-5148 Fax: 276-783-6716 |