Andrea L Adamczak, PA
Individual provider Active NPI Physician Assistant · Lynchburg, VA
NPI 1477535938 · NPPES record last updated Aug 24, 2022
Key facts
- NPI
- 1477535938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110002205 (VA)
- Practice address
- 2321 Atherholt Road
Lynchburg, VA 24501-2113 - Phone
- (434) 947-3993
- Fax
- (434) 847-2941
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060615000267 | VA | Practitioner - Physician Assistant | 1850303710 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110002205 | VA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110002205 | VA | Yes |
Addresses
Primary practice location
2321 Atherholt Road
Lynchburg, VA 24501-2113
Mailing address
2321 Atherholt Road
Lynchburg, VA 24501-2113
Phone (434) 947-3993
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All providers in Lynchburg, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2022. 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.