Corey Black, MD | |
13700 St Francis Blvd Ste 100, Midlothian, VA 23114-3222 | |
(804) 594-7300 | |
(804) 594-7410 |
Full Name | Corey Black |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 13700 St Francis Blvd Ste 100, Midlothian, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457398422 | NPI | - | NPPES |
0101271663 | Other | VA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101271663 (Virginia) | Primary |
Entity Name | Good Samaritan Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487758801 PECOS PAC ID: 1658272059 Enrollment ID: O20040119000325 |
Entity Name | St Marys Hospital Centralia Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
Entity Name | Hospitalist Physicians Medical Group Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275395097 PECOS PAC ID: 3274895792 Enrollment ID: O20180321002655 |
Mailing Address | Practice Location Address |
---|---|
Corey Black, MD 13700 St Francis Blvd Ste 100, Midlothian, VA 23114-3222 Ph: (804) 594-7300 | Corey Black, MD 13700 St Francis Blvd Ste 100, Midlothian, VA 23114-3222 Ph: (804) 594-7300 |
Dr. Jennifer Simpliciano, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Watkins Centre Pkwy Ste 250, Midlothian, VA 23114 Phone: 804-423-8470 Fax: 804-423-8471 | |
Dr. Vicki B Latham-solomon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13901 Coalfield Commons Pl Ste 201, Midlothian, VA 23114 Phone: 804-420-1200 Fax: 804-344-0980 | |
Mark A Gentz, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 505, Midlothian, VA 23114 Phone: 804-601-0609 Fax: 804-594-7424 | |
Shashi Kumar Prabhakar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 600, Midlothian, VA 23114 Phone: 804-794-6400 Fax: 804-897-0910 | |
Francesca Levine Glynn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 510, Midlothian, VA 23114 Phone: 804-423-8470 Fax: 804-423-8471 | |
Morgan L. Vargo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2384 Colony Crossing Pl, Midlothian, VA 23112 Phone: 804-423-3636 | |
Omar F Shams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 600, Midlothian, VA 23114 Phone: 804-794-6400 Fax: 804-897-0910 |