Dr Ian S Shupack, MD | |
7571 Cold Harbor Rd, Mechanicsville, VA 23111-1631 | |
(804) 746-9055 | |
(804) 746-4476 |
Full Name | Dr Ian S Shupack |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 7571 Cold Harbor Rd, Mechanicsville, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629186481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101054440 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
Henrico Doctors' Hospital | Richmond, VA | Hospital |
Bon Secours Richmond Community Hospital | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mechanicsville Medical Center Family Physicians, P.l.l.c. | 7810965175 | 4 |
Entity Name | Mechanicsville Medical Center Family Physicians, P.l.l.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386716249 PECOS PAC ID: 7810965175 Enrollment ID: O20040923000824 |
Mailing Address | Practice Location Address |
---|---|
Dr Ian S Shupack, MD 7571 Cold Harbor Rd, Mechanicsville, VA 23111-1631 Ph: (804) 746-9055 | Dr Ian S Shupack, MD 7571 Cold Harbor Rd, Mechanicsville, VA 23111-1631 Ph: (804) 746-9055 |
Dr. Jon Randall Frederick, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8260 Atlee Rd, Emergency Dept, Mechanicsville, VA 23116 Phone: 804-764-6300 Fax: 804-764-6562 | |
Dr. Kevin J Sahli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7571 Cold Harbor Rd, Mechanicsville, VA 23111 Phone: 804-746-9055 Fax: 804-746-4476 | |
Brent A Logie, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9376 Atlee Station Rd, Hanover Family Physicians Pc, Mechanicsville, VA 23116 Phone: 804-730-0990 Fax: 804-730-8752 | |
Dr. Mark Goldberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7238 Mechanicsville Tpke, Mechanicsville, VA 23111 Phone: 804-559-9900 Fax: 804-559-6530 | |
Christopher P Lake, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8200 Meadowbridge Rd Ste 200, Mechanicsville, VA 23116 Phone: 804-730-2121 | |
Michael J Petrizzi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9376 Atlee Station Rd, Hanover Family Physicians Pc, Mechanicsville, VA 23116 Phone: 804-730-0990 Fax: 804-730-8752 | |
Jethro Haslett Piland Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7255 Hanover Green Dr, Mechanicsville, VA 23111 Phone: 804-730-1111 Fax: 804-730-9764 |