In Partnership with                                

Participating Insurance

​​Insurances are subject to change without notice. This list is intended for informational purposes only.  Please verify participation with your health insurance carrier.

  • Aetna/Coventry
  • Aetna Better Health of VA and WV
  • Anthem BC/BS Virginia
  • Cigna
  • Healthsmart
  • Humana
  • Innovation Health/Aetna VH
  • Magellan
  • Medicare 
  • Multiplan
  • Optima
  • Signature Partners 
  • The Health Plan
  • TriCare
  • United Health Care
  • Virginia Health Network
  • VA Medicaid
  • VA Premier
  • WV Medicaid
  • WV Senior Advantage
  • WV Unicare
  • VA and WV Workers Compensation 

Patient Information​​

​​​New Patient Packet

Feel free to download and print the new patient packet to bring to your first appointment.

Scan the QR code to download and complete new patient paperwork if you have a smart device.


If your insurance company requires an insurance referral from your primary care physician, please submit it prior to your appointment.  Our office requires a referral directly from your doctor, regardless of insurance.  This referral must include your most recent and relevant office notes, demographics, a copy of your insurance card or authorization from workers' compensation, as well as any diagnostic study reports and any previous pain management records.

Prescription Refills

All medication refills are done during working hours on Monday through Thursday only.  You may have your pharmacy call directly to request a medication refill.  Please allow two working days for the prescription to be processed.  If you need a new written prescription, please allow 5-7 business days for the prescription to be processed.  We are unable to refill prescriptions after hours so allow enough time before your prescription runs out.

All patients should arrive 15 minutes prior to their appointment time to complete any necessary paperwork.  If you arrive 15 minutes after your appointment time, you may be rescheduled.  Please provide 24 hours notice prior to your appointment for cancellations, this allows us to better serve our patient population and avoid charging for missed visits.

Medical Records
Virginia Brain & Spine Center, Inc complies with HIPAA privacy standards, and will treat your medical records confidentially, consistent with our Notice of Privacy Practices.  To obtain copies of your medical records you must sign a Medical Release form.  There is also a fee to obtain medical records.  These fees, set forth by Virginia State Law, must be paid in full before your request will be processed.  Please allow 5-10 business days for processing.  These fees are subject to change without notice.

Read the HIPAA Notice of Privacy Practices to see how medical information about you may be used and disclosed and how you can get access to this information.

Workers' Compensation
If you are being seen for a work related injury and are covered under a Workers' Compensation claim, we will seek payment from that plan as long as you provide us with the necessary claim contact information to allow us to obtain authorization in advance of your appointment.  Otherwise, you are obligated to make payment in full at the time services are rendered.  If your workers' compensation plan denies payment for services rendered, you are responsible for payment in full.  If you have any questions regarding a workers' compensation claim, you may contact our billing department at (540) 450-0072.

Third Party Liability
We do not hold accounts while third party liability claims are being processed; this would include Motor Vehicle Claims.  We request payment made in full at the time services are rendered unless you have a Letter of Protection on file at our office.


If you have a health care emergency call 911.  If you need to speak with a neurosurgeon after hours, call the Winchester Medical Center operator at (540) 536-8000 and ask to have the physician on call paged.


Medical Staff

Phone Directory

A directory of phone numbers is included below if you need to reach members of our medical staff quickly. We try to return phone calls within 48 hours (please note we are closed on all major holidays and weekends).  If you are unsure which number you should dial but still need to reach our office, you can call 540-450-0072. 


  • Neurosurgery Refill/Test Results: 540-450-0072 ext 3050

  • Neurosurgery Triage/Nurse: 540-771-2297

  • Secretary for Dr. Ireland and Dr. Prickett: 540-771-2296

  • Secretary for Dr. Salvetti and Dr. Selznick: 540-771-2294

  • Surgical Scheduler for Dr. Fawaz, Dr. Ireland and Dr.                            Prickett: 540-771-2292

  • Surgical Scheduler for Dr. Salvetti and Dr. Selznick:                              540-771-2293

  • Neurosurgery Referral Clerk: 540-771-2299

                 Direct Fax Line: 540-450-8783

Business Office

  • ​Medical Records: 540-450-0072 

  • Surgical Authorization for Dr. Salvetti and Dr. Selznick:                          540-771-2305

  • Surgical Authorization for Dr. Fawaz, Dr. Ireland, and Dr.                        Prickett: 540-771-2295

​​​Neurological Surgery • 540.450.0072 • 1818 Amherst Street Suite 101, Winchester, VA 22601