Dr Edmund Madison Chitwood, MD | |
459 Locust Ave, Mb 26, Charlottesville, VA 22902-4808 | |
(434) 982-7150 | |
(434) 982-7147 |
Full Name | Dr Edmund Madison Chitwood |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 459 Locust Ave, Charlottesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891765715 | NPI | - | NPPES |
P00194027 | Other | VA | MEDICARE PIN |
010134030 | Medicaid | VA | |
166065 | Other | VA | ANTHEM SVCS/HEALTHKEEPERS |
224990 | Other | VA | SOUTHERN HEALTH |
31587 | Other | VA | COMMUNITY HEALTH |
31587 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101224518 (Virginia) | Primary |
Entity Name | Bath County Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417989278 PECOS PAC ID: 0840193819 Enrollment ID: O20040128000523 |
Mailing Address | Practice Location Address |
---|---|
Dr Edmund Madison Chitwood, MD Po Box 11647, Daytona Beach, FL 32120-1647 Ph: (386) 274-7800 | Dr Edmund Madison Chitwood, MD 459 Locust Ave, Mb 26, Charlottesville, VA 22902-4808 Ph: (434) 982-7150 |
Margaret K. Sande, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295 | |
Aaron Frey, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295 | |
Sara M Vecchione, FNP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295 | |
Dr. Ursula Gailliot Koeze, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 459 Locust Ave, Mb 26, Charlottesville, VA 22902 Phone: 434-982-7150 Fax: 434-982-7147 | |
David R. Burt, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295 | |
Mairin Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7154 | |
Avery Michienzi, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295 |