Mary Elizabeth N Tekesky (NPI# 1619388279, PAC ID# 3274750070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1619388279 |
| PAC ID by PECOS | 3274750070 |
| Professional Enrollment ID | I20140818001909 |
| Full Name | Mary Elizabeth N Tekesky |
| Organization Legal Name | SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC |
| Address |
809 Davis St Suite 2 Blacksburg VA 24060-7013 |
| Phone Number | 5409516000 |
| Gender | F |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5496852683 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| Address | Phone | Organization |
|---|---|---|
| 809 Davis St, Suite 2, Blacksburg, VA 24060-7013 | 5409516000 | SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC |
| 809 Davis St, Suite Ste1, Blacksburg, VA 24060-7013 | 5409611590 | LEWIS GALE PHYSICIANS LLC |
| 1802 Braeburn Dr, Salem, VA 24153-7357 | 5407723400 | LEWIS GALE PHYSICIANS LLC |
| 1900 Electric Rd, Salem, VA 24153-7474 | LEWIS GALE PHYSICIANS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SOUTHWEST VIRGINIA ORTHOPEDIC AND SPINE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc Samuel Siegel | Orthopedic Surgery | Southwest Virginia Orthopedic and Spine LLC | 80 College St, R, Christiansburg, VA 24073-2985 |
| Stuart A Gardner | Orthopedic Surgery | Southwest Virginia Orthopedic and Spine LLC | 809 Davis St, Suite 2, Blacksburg, VA 24060-7013 |
| Street Address |
809 DAVIS ST SUITE 2 |
| City | BLACKSBURG |
| State | VA |
| Zip | 24060-7013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jolene B Henshaw | General Surgery | Montgomery Surgery Associates LLC | 809 Davis St, Blacksburg, VA 24060-7013 |
| James Leipzig | Orthopedic Surgery | Lewis Gale Physicians LLC | 809 Davis St, Suite Ste1, Blacksburg, VA 24060-7013 |
| Micah W I Jones | Hand Surgery | Lewis Gale Physicians LLC | 809 Davis St, Suite Ste1, Blacksburg, VA 24060-7013 |
| David Stoeckle | General Surgery | Montgomery Surgery Associates LLC | 809 Davis St, Blacksburg, VA 24060-7013 |
| Stuart A Gardner | Orthopedic Surgery | Southwest Virginia Orthopedic and Spine LLC | 809 Davis St, Suite 2, Blacksburg, VA 24060-7013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn W Spangler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Kristopher Joel Hansen | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Michele Lee Keesling | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Charlene M Jordan | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Amy Ratcliffe Butler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Heather L Bayless | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Mazen I Madhoun | Family Medicine | 3400 Southpoint Dr, Blacksburg, VA 24060-1261 | |
| Glenda Beekmann Ball | Nurse Practitioner | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Avery M Matthews | Psychiatry | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Lynn M Bever | Psychologist, Clinical | 1501 Lark Ln, Blacksburg, VA 24060-2658 | |
| Find all physicians in zip 24060 | |||
| City | BLACKSBURG |
| Zip Code | 24060 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BLACKSBURG + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mary Elizabeth N Tekesky.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.