Dan A Williams Jr, | |
2232 Wilborn Ave, South Boston, VA 24592 | |
(434) 517-3832 | |
(434) 517-3649 |
Full Name | Dan A Williams Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2232 Wilborn Ave, South Boston, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205843489 | NPI | - | NPPES |
P00301678 | Other | VA | RR MCARE |
462324 | Other | VA | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0102201639 (Virginia) | Primary |
Entity Name | Tampa Bay Emergency Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114977428 PECOS PAC ID: 0345260345 Enrollment ID: O20051206000518 |
Entity Name | Pasco County Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568771707 PECOS PAC ID: 7911196241 Enrollment ID: O20110118000666 |
Mailing Address | Practice Location Address |
---|---|
Dan A Williams Jr, Po Box 1115, South Boston, VA 24592 Ph: (434) 517-3515 | Dan A Williams Jr, 2232 Wilborn Ave, South Boston, VA 24592 Ph: (434) 517-3832 |
Rebecca Mae Kirsch, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3590 Fax: 434-572-4549 | |
Michael Weston Mcdowell, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3660 | |
Victor Mihal, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100 Fax: 434-517-3626 | |
Patrick Ryan O'connell, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3123 | |
James Mccubbin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3123 |