Annemarie C Beran, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Blacksburg, VA
NPI 1184483372 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1184483372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3700 S Main St
Blacksburg, VA 24060-7017 - Phone
- (540) 443-3700
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20240604002170 | VA | Order and Referring Only - Family Practice |
0840732012 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- annemarie.beran@hca6.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3700 S Main St
Blacksburg, VA 24060-7017
Mailing address
3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 443-3700
Other providers in Blacksburg, VA
- Brenda Thompson Beck
- Matthew Todd Beck
- Geessiena Beckman
- Christopher A Belluzzo
- Maggie Belton
- David E Berry
- Sarah Bertolo
- Cathye Griffin Betzel
- Lynn Marie Bever
- Victoria Hutchins Bierman
All providers in Blacksburg, VA · Student in an Organized Health Care Education/Training Program in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.