Mary B. Preston, M.D.
Individual provider Active NPI Internal Medicine Physician · Orange, VA
NPI 1801965447 · NPPES record last updated Oct 28, 2020
Key facts
- NPI
- 1801965447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101058376 (VA)
- Practice address
- 661 University LN Ste B
Orange, VA 22960-2243 - Phone
- (540) 661-3004
- Fax
- (434) 244-4508
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Connecticut School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Virginia Health Services Inc
Practice addresses (Care Compare)
1101 E Jefferson St
Charlottesville, VA 22902-5353
Phone (434) 227-5624
Hospital & facility affiliations
- Sentara Martha Jefferson 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 |
|---|---|---|---|---|
| I20060421000474 | VA | Practitioner - Internal Medicine |
7012927957 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Virginia Health Services Inc | Current |
Accepting new patients | |
| Central Virginia Health Services Inc | Current |
Accepting new patients | |
| Uva Community Health Medical Group, LLC | Past |
Accepting new patients | |
| Central Virginia Health Services Inc | Past | Accepting new patients |
Locations
901 Preston Ave
Ste 301
Charlottesville, VA 22903
Phone (434) 227-5624
1101 E Jefferson St
Charlottesvle, VA 22902
Phone (434) 227-5624
25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271
Interoperability endpoints
- mary.preston.1@28846.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101058376 | VA | Yes |
Addresses
Primary practice location
661 University LN Ste B
Orange, VA 22960-2243
Mailing address
500 Court SQ
Charlottesville, VA 22902-5141
Phone (434) 960-6107
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpreston6858@direct.healthsystem.virginia.edu | Direct |
Other providers in Orange, VA
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- Leslie S Raiford
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All providers in Orange, VA · Internal Medicine 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 Oct 28, 2020. 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.