Donovan Deryl Clark, MD | |
382 Taylor Dr, Danville, VA 24541 | |
(434) 773-4240 | |
(434) 773-4241 |
Full Name | Donovan Deryl Clark |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 382 Taylor Dr, Danville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235199100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | VA 0101057639 (Virginia) | Primary |
Entity Name | Prince William County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053402800 PECOS PAC ID: 7113912973 Enrollment ID: O20040420000249 |
Entity Name | Commonwealth Of Virginia Department Of Behavioral Health And Southern |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386704898 PECOS PAC ID: 3173502713 Enrollment ID: O20040716000396 |
Mailing Address | Practice Location Address |
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Donovan Deryl Clark, MD 382 Taylor Dr, Danville, VA 24541 Ph: (434) 773-4240 | Donovan Deryl Clark, MD 382 Taylor Dr, Danville, VA 24541 Ph: (434) 773-4240 |
Wales Thottathikunnath George, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 382 Taylor Dr, Danville, VA 24541 Phone: 434-799-3220 | |
Renuka N Prasad, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 212 S Main St, Suite 3, Danville, VA 24541 Phone: 434-799-9020 Fax: 434-799-3451 | |
Chandrakant M Patel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 212 S Main St, Suite # 2, Danville, VA 24541 Phone: 434-799-2400 Fax: 434-793-0239 | |
Suresh M Patel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 382 Taylor Dr, Southern Virginia Mental Health Institute, Danville, VA 24541 Phone: 434-799-6220 Fax: 434-773-4241 | |
Mikhail O. Chizhikov, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 291 Park Ave, Danville, VA 24541 Phone: 434-799-3310 Fax: 434-799-3317 | |
Dr. John Andrew Gergen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 245 Hairston St, Danville, VA 24540 Phone: 434-799-0456 Fax: 434-791-2644 |