EMILY JANE BODFISH
NPI 1689223208
Physician Assistant - Medical in Marion, VA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since September 06, 2019PECOS Enrolled

1204 N MAIN ST, MARION, VA 24354(276) 783-2511 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 2, 2020, Sep 6, 2019 (2 updates tracked since 2019).

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About Emily Jane Bodfish NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY JANE BODFISH (NPI 1689223208) is an individual medical provider in Marion, Virginia, licensed in Virginia (0110-006874) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Abingdon.

NPPES Registry Identity

NPI1689223208

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameEMILY JANE BODFISH

Location Address1204 N MAIN STMarion, VA 24354-4312

Mailing Address171 Hutton St Apt 7Abingdon, VA 24210-3492

Phone(276) 783-2511

Sole ProprietorNo

Enumeration DateSeptember 6, 2019

Last NPPES UpdateJanuary 2, 20202 updates tracked since enumeration

✔ NPI 1689223208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in VA · 0110-006874

1204 N MAIN ST, Marion, VA 24354

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Secondary Practice Location 1

Location 126208 Lee HwyAbingdon, VA 24211-7504 · Phone (276) 451-3044

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Jane Bodfish is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.