Centra, Centra Medical Group

Gretna Medical Center

Providing the community with access to quality care since 1997, Gretna Medical Center is dedicated to providing quality comprehensive medical care for everyone in your family.

APPOINTMENTS

Appointments are required for routine medical care. This minimizes waiting and increases our efficiency. When you call for an appointment, tell us the reason for your visit and the name of your regular physician so we can schedule you appropriately. If you cannot keep an appointment, please call our receptionist to cancel. We make our best effort to work-in patients who are sick. However, we encourage patients to call before coming to the office and we will give priority to those who do call unless there is an emergency. In an emergency, please call before arriving, if possible. Let a staff member know as soon as you arrive. Emergency patients always receive
priority.

NEW PATIENTS

Due to the amount of time it takes to do an initial assessment, new patients are seen for the first time by appointment only. We request that all new patients bring the following:

• All current medications
• A completed new patient packet, which is mailed to you prior to your appointment date
• A photo ID
• All current insurance cards
• Any beneficial previous medical records

Parents should bring their children's immunization records as well. All patients under the age of 18 must have a parent or guardian present at the time of treatment, unless prior arrangements are made.

FEES

Co-payments, deductibles and any other self-payment balances are due at the time of service. If you have a medical emergency and cannot pay, we request that you talk with our patient account specialist to work out payment arrangements. When calling our office about your bill, please ask to speak with outpatient account specialist.

INSURANCE

In order to create and file insurance claims, you must provide the office with complete and accurate insurance policy information, along with presenting the card(s) to our office upon receiving them. Although we will gladly file your claims to your insurance company, you are ultimately responsible for any unpaid or denied amounts that your insurance company has determined to be the patient's responsibility.

For a list of current insurance companies that the practice participates with, please contact our office and ask to speak with a patient account specialist.

TELEPHONE CALLS

Calls received during office hours will be directed to leave a message and a physician or nurse will return your call within 24 hours. If you are calling with an emergency, such as an adverse reaction to a medication or treatment received, please indicate so to our receptionist and a nurse will promptly return your call.

MEDICATION AND PRESCRIPTION REFILLS

Contact your pharmacy to request your prescription(s) to be refilled, the pharmacy will then submit a request to our office. If your prescription requires physician approval, you must make a request for a refill BEFORE your prescription runs out. We cannot guarantee refills on prescriptions and your physician may also request that you be seen by appointment before a prescription can be refilled.

EMERGENCIES

We are not able to provide after-hours care to anyone other than our patients, except for extreme emergencies. In case of a life-threatening emergency and you cannot contact a physician immediately, go directly to the emergency department, or call 9-1-1.

Should an emergency arise during office hours, go directly to the emergency department or call 9-1-1.

Gretna Medical Center Services

• Acute gynecological problems
• Annual physicals
• Annual Well Women exam
• EKG
• Exercise and obesity counseling
• Infant care
• Lab work (on-site laboratory)
• Laceration repair
• PAP tests
• Preventative and routine services
• Removal of minor lesions, skin tags, moles and warts
• Sports physicals
• X-rays
• Vaccinations (a participant of Virginia Vaccines for Children)

Gretna Medical Center Physicians and Nurses

Joseph Hostetler, M.D.

Dr. Hostetler graduated from the University of Miami Miller School of Medicine in 2007 and completed his family medicine residency program at Centra. The Hostetlers have three children and enjoy spending time together outdoors and participating in sports. Dr. Hostetler is board certified in family medicine.

Alexander Wilgus, M.D.

Dr. Wilgus graduated from the University of North Carolina at Chapel Hill in 1993 and completed his family medicine residency program at Centra.  Dr. Wilgus is board certified in Family Medicine.

Violet "Vye" Esposito, FNP

Vye Esposito joined Gretna Medical Center in 1997. She is a graduate of Virginia Baptist Hospital School of Nursing and has a Master of Science in Nursing from the University of Virginia. Her Post-Masters Family Nurse Practitioner Certificate was earned from Old Dominion University. When she isn't tending to your family's needs at Gretna Medical Center, Vye is spending time with her grandchildren. She also loves the beach, quilting and other crafts.

Christy Gambil, PA-C, MPAS

Christy is a graudate of the University of Nebraska Medical Center and has a Masters in Physician Assistant studies from the University of Nebraska as well. Gambil has been a physician assistant with Centra since 2010. 

To schedule an appointment, give us a call at 434.656.1274.