Jacqueline Perdue
CENTRA MEDICAL GROUP LLC


Address: 4830 Rucker Rd, Moneta, VA 24121-5281
Phone: 5402977181

Jacqueline Perdue (NPI# 1013490655, PAC ID# 7214281856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1013490655
PAC ID by PECOS 7214281856
Professional Enrollment ID I20181116001383
Full Name Jacqueline Perdue
Organization Legal Name CENTRA MEDICAL GROUP LLC
Address 4830 Rucker Rd
Moneta
VA 24121-5281
Phone Number 5402977181
Gender F
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 4789606088
Number of Group Practice Members 583
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490021 CENTRA
490088 CENTRA BEDFORD MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
1901 Tate Springs Rd, Lynchburg, VA 24501-1109 4349473033 CENTRA MEDICAL GROUP LLC
4830 Rucker Rd, Moneta, VA 24121-5281 5402977181 CENTRA MEDICAL GROUP LLC

Organization Information

Organization Legal Name CENTRA MEDICAL GROUP LLC
Physicians 561

Physicians with the same organization

Name Specialty Organization Address
Sebastian J Ksionski Family Medicine Centra Medical Group LLC 935 S Main St, Farmville, VA 23901-2211
Weijuan M Li Interventional Cardiology Centra Medical Group LLC 1039 Mayberry Crossing Dr, Suite C, Moneta, VA 24121-6414
Marie Andrea Lopez Physician Assistant Centra Medical Group LLC 1911 Thomson Dr, Lynchburg, VA 24501-1008
Tahmina H Brady Family Medicine Centra Medical Group LLC 16890 Forest Rd, Forest, VA 24551-4059
Sharon P Hawout Certified Nurse Midwife (cnm) Centra Medical Group LLC 291 Mcbride Ln, Gretna, VA 24557-2773
Jordan J Synkowski Neurosurgery Centra Medical Group LLC 2138 Langhorne Rd, Lynchburg, VA 24501-1400
Oluloniyin E Peters Physical Medicine and Rehabilitation Centra Medical Group LLC 1330 Oak Ln, Lynchburg, VA 24503-2513
John B Blalock Jr. General Surgery Centra Medical Group LLC 1906 Thomson Dr, Lynchburg, VA 24501-1009
Hope A Alexander Nurse Practitioner Centra Medical Group LLC 412 Namozine St, Burkeville, VA 23922-3184
April Y Giles Nurse Practitioner Centra Medical Group LLC 404 Airport Dr A, Danville, VA 24540-5196

Office Location

Street Address 4830 RUCKER RD
City MONETA
State VA
Zip 24121-5281

Physicians in the same location

Name Specialty Organization Address
Patricia Z Lloyd Physician Assistant Centra Medical Group LLC 4830 Rucker Rd, Moneta, VA 24121-5281
Jennifer E Phillips Nurse Practitioner Centra Medical Group LLC 4830 Rucker Rd, Moneta, VA 24121-5281
Patricia H Hayes Nurse Practitioner Centra Medical Group LLC 4830 Rucker Rd, Moneta, VA 24121-5281
Virginia L Blanks Family Medicine Centra Medical Group LLC 4830 Rucker Rd, Moneta, VA 24121-5281
Kathryn L Sparhawk Family Medicine Centra Medical Group LLC 4830 Rucker Rd, Moneta, VA 24121-5281
Todd H Dehli Family Medicine Centra Medical Group LLC 4830 Rucker Rd, Moneta, VA 24121-5281
Carey A Cole Nurse Practitioner Centra Medical Group LLC 4830 Rucker Rd, Moneta, VA 24121-5281
Lora J Nissen Nurse Practitioner Centra Medical Group LLC 4830 Rucker Rd, Moneta, VA 24121-5281
Darlene Bianchino Nigro Internal Medicine Centra Medical Group LLC 4830 Rucker Rd, Moneta, VA 24121-5281
Janice E Luth Family Medicine Centra Medical Group LLC 4830 Rucker Rd, Moneta, VA 24121-5281
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Jeremy Smalley Orthopedic Surgery Lewis Gale Physicians LLC 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683
Allison Ryan Mitchell Physician Assistant Lewis Gale Physicians LLC 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683
Matthew B Bowles Physician Assistant Lewis Gale Physicians LLC 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683
Tiffany A Powell Family Medicine Smith Mountain Lake Family Practice, PC 70 Westwind Rd, Moneta, VA 24121-3726
Steven T Lewis Family Medicine Smith Mountain Lake Family Practice, PC 70 Westwind Rd, Moneta, VA 24121-3726
Susan E Funk Internal Medicine Smith Mountain Lake Family Practice, PC 70 Westwind Rd, Moneta, VA 24121-3726
Bradford T Herlehy Chiropractic 70 Scruggs Rd, Suite 106, Moneta, VA 24121-5199
James A Schaible Chiropractic 15388 Moneta Rd, Moneta, VA 24121-5876
Benjamin Michael Hodges Physical Therapy Rehabilitation Associates of Central Virginia Limited Partnership 12281 Moneta Rd, Suite B, Moneta, VA 24121-6402
Catherine A Beuerle Physical Therapy Rehabilitation Associates of Central Virginia Limited Partnership 12281 Moneta Rd, Suite B, Moneta, VA 24121-6402
Find all physicians in zip 24121

Competitor

Search similar physicians

City MONETA
Zip Code 24121
Specialty PHYSICIAN ASSISTANT
City + Specialty MONETA + PHYSICIAN ASSISTANT

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Dataset Information

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.

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