Dr David R Fulp, MD | |
100 Sentara Cir, Rm 2c, Williamsburg, VA 23188-5713 | |
(757) 984-7218 | |
(757) 984-7210 |
Full Name | Dr David R Fulp |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 100 Sentara Cir, Williamsburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992713549 | NPI | - | NPPES |
005857571 | Medicaid | VA | |
39379 | Other | VA | SENTARA |
139607 | Other | VA | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101034453 (Virginia) | Secondary |
207P00000X | Emergency Medicine | 0101034453 (Virginia) | Primary |
Entity Name | Sentara Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
Mailing Address | Practice Location Address |
---|---|
Dr David R Fulp, MD 100 Sentara Cir, Rm 2c, Williamsburg, VA 23188-5713 Ph: (757) 984-7218 | Dr David R Fulp, MD 100 Sentara Cir, Rm 2c, Williamsburg, VA 23188-5713 Ph: (757) 984-7218 |
Susan Marie Lessner-boesler, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Oak Holw, Williamsburg, VA 23188 Phone: 757-206-6595 | |
Dr. Stephen Grimes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 Monticello Ave, Williamsburg, VA 23185 Phone: 757-259-6000 | |
Thomas Camp, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Sentara Cir, Williamsburg, VA 23188 Phone: 757-984-6000 | |
David I Cohen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Commonwealth Ave, Williamsburg, VA 23185 Phone: 757-585-2250 Fax: 757-903-2285 | |
Samuel Anthony John Tabacchi, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Commonwealth Ave, Williamsburg, VA 23185 Phone: 757-585-2000 | |
Dr. Karen Link, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Monticello Ave, Williamsburg, VA 23185 Phone: 757-259-6000 | |
Dr. David P Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Commonwealth Ave, Williamsburg, VA 23185 Phone: 757-585-2250 Fax: 757-903-2285 |