Dr Bruce Alfred St Amour Jr, DO | |
1900 Electric Rd, Salem, VA 24153-7494 | |
(540) 776-4000 | |
(540) 776-4196 |
Full Name | Dr Bruce Alfred St Amour Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1900 Electric Rd, Salem, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821030040 | NPI | - | NPPES |
114832768 | Medicaid | MI | |
114773193 | Medicaid | MI | |
BS014898 | Other | MI | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 014898 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 0102205608 (Virginia) | Primary |
Entity Name | Grinnell Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669420501 PECOS PAC ID: 0446153662 Enrollment ID: O20040127001219 |
Entity Name | Des Moines River Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720472442 PECOS PAC ID: 0143549634 Enrollment ID: O20150505001794 |
Mailing Address | Practice Location Address |
---|---|
Dr Bruce Alfred St Amour Jr, DO 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Bruce Alfred St Amour Jr, DO 1900 Electric Rd, Salem, VA 24153-7494 Ph: (540) 776-4000 |
Mark E Todd, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Shane P Bossard, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-1093 | |
Pratibha Joshi, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-855-3475 | |
Dr. Lourdes Maria Page, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 429 Homeplace Dr, Salem, VA 24153 Phone: 540-529-6870 | |
Robert E Dowling, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Er Dept, Salem, VA 24153 Phone: 540-776-4970 | |
Dr. Adam Wali Hamidi, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 301-661-1145 | |
Mr. Garth Allen Mills Jr., PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3490 Fax: 540-772-3822 |