| Mountainside Medicine P.c. | |
|
12715 Lee Hwy Washington VA 22747-1933 | |
| (540) 675-3080 | |
| Not Available |
| Full Name | Mountainside Medicine P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 12715 Lee Hwy, Washington, Virginia |
| Authorized Official Name and Position | John F. Mccue (PRESIDENT) |
| Authorized Official Contact | 5406753080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainside Medicine P.c. 12715 Lee Hwy Washington VA 22747-1933 Ph: (540) 675-3080 | Mountainside Medicine P.c. 12715 Lee Hwy Washington VA 22747-1933 Ph: (540) 675-3080 |
| NPI Number | 1790963676 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 02/04/2008 |
| Medicare PECOS PAC ID | 8820259443 |
|---|---|
| Medicare Enrollment ID | O20120409000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790963676 | NPI | - | NPPES |
| 5624215 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102049877 (Virginia) | Primary |
| Provider Name | John F Mccue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255480299 PECOS PAC ID: 6305825100 Enrollment ID: I20120409000115 |
Valley Health/page Memorial Hospital/ Family Medicine/washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12699 Lee Hwy, Washington, VA 22747 Phone: 540-987-5068 Fax: 540-987-5070 | |
Miller Family Health & Wellness, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12699 Lee Hwy, Washington, VA 22747 Phone: 540-987-5068 Fax: 540-987-5070 |