Jagadamba Pandit, MD
Individual provider Active NPI Psychiatry Physician · Covington, VA
NPI 1154582369 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1154582369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 0101252254 (VA)
- Practice address
- 311 S Monroe Ave
Covington, VA 24426-1635 - Phone
- (540) 965-2100
- Fax
- (540) 965-2105
- NPI assigned
- Jun 19, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northwestern Community Services Board
Practice addresses (Care Compare)
136 General Dr
Suite 300
Luray, VA 22835-5257
Phone (540) 743-4548
Hospital & facility affiliations
- Page Memorial Hospital, Inc
- Shenandoah Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140117001603 | VA | Practitioner - Psychiatry | 6800030222 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101252254 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Community Services Board | Psychiatry | Current |
Accepting new patients |
| Alleghany Highlands Community Services | Past |
Accepting new patients | |
| Northwestern Community Services Board | Past |
Accepting new patients |
Locations
309 W Main St
Berryville, VA 22611
Phone (540) 277-8080
209 W Criser Rd
Front Royal, VA 22630
Phone (540) 636-2931
209 W Criser Rd
Ste 300
Front Royal, VA 22630
Phone (540) 636-4250
136 General Dr
Ste 300
Luray, VA 22835
Phone (540) 743-4548
170 Prosperity Dr
Winchester, VA 22602
Phone (540) 667-8888
158 Front Royal Pike
Ste 303
Winchester, VA 22602
Phone (540) 409-5254
494 N Main St
Ste 300
Woodstock, VA 22664
Phone (540) 459-5180
441 N Main St
Woodstock, VA 22664
Phone (540) 459-4946
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D86406 | MD | |
| Addiction Psychiatry Physician | 2084P0802X | 0101252254 | VA | |
| Psychiatry Physician | 2084P0800X | 0101252254 | VA | Yes |
Addresses
Primary practice location
311 S Monroe Ave
Covington, VA 24426-1635
Mailing address
311 S Monroe Ave
Covington, VA 24426-1635
Phone (540) 965-2100
Other practice location 1
11116 Medical Campus Rd Ste 2989
Hagerstown, MD 21742-6710
Phone (301) 766-7600
Other providers in Covington, VA
- Michael T Moran
- Moveallpro LLC
- Murray E Joiner Jr MD PC
- Brooke Gumm Nogueira
- Norma C Yu MD
- Joyce O Persinger
- Gary Pillow
- Micah Pritt
- Rainelle Medical Center, Inc
- Azhar Niaz Rana
All providers in Covington, VA · Psychiatry Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.