| Alice Wilkerson, PHD | |
|
2762 Electric Rd, Suite C, Roanoke, VA 24018-3582 | |
| (540) 772-5140 | |
| (540) 772-5131 |
| Full Name | Alice Wilkerson |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Counseling |
| Location | 2762 Electric Rd, Roanoke, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356312987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 0701000968 (Virginia) | Primary |
| 103TF0000X | Psychologist - Family | 0701000968 (Virginia) | Secondary |
| Entity Name | Psychological Health Roanoke Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417975806 PECOS PAC ID: 4981606076 Enrollment ID: O20070201000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Wilkerson, PHD 2762 Electric Rd, Suite C, Roanoke, VA 24018-3582 Ph: (540) 772-5140 | Alice Wilkerson, PHD 2762 Electric Rd, Suite C, Roanoke, VA 24018-3582 Ph: (540) 772-5140 |
Nicole Pagano, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-561-3900 | |
Ms. Lisa Jane Booan, M.ED, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5901 Plantation Cir, Roanoke, VA 24019 Phone: 540-561-8175 | |
Mrs. Jillian Shillaber, LCP, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 4346 Starkey Rd, Suite 1, Roanoke, VA 24018 Phone: 540-772-8043 Fax: 540-772-8242 | |
Janet Brockington Kegley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2648 Fax: 540-853-2469 | |
Kristen Micheal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5937 Cove Rd, Roanoke, VA 24019 Phone: 540-562-3900 | |
Savannah Marie Childers Hommema, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 40 Douglas Ave Nw, Roanoke, VA 24012 Phone: 540-853-2502 | |
Dr. Ronald L Webster, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7851 Enon Dr, Roanoke, VA 24019 Phone: 540-265-5666 Fax: 540-265-0386 |