Dr Jacqueline Mary Fogarty, MD | |
409 Oak Ln, South Boston, VA 24592-1633 | |
(434) 572-8300 | |
(434) 572-1659 |
Full Name | Dr Jacqueline Mary Fogarty |
---|---|
Gender | Female |
Speciality | Orthopedic Surgery |
Experience | 50 Years |
Location | 409 Oak Ln, South Boston, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821051525 | NPI | - | NPPES |
6401767 | Medicaid | VA | |
078069 | Other | VA | ANTHEM |
200019809 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 0101035912 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Halifax Regional Hospital | South boston, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dominion Health Medical Assoc | 1254311558 | 18 |
Entity Name | Dominion Health Medical Assoc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacqueline Mary Fogarty, MD 409 Oak Ln, South Boston, VA 24592-1633 Ph: (434) 572-8300 | Dr Jacqueline Mary Fogarty, MD 409 Oak Ln, South Boston, VA 24592-1633 Ph: (434) 572-8300 |
Dr. Philip Holzknecht, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 Fax: 434-572-4712 | |
Michael K Kyles, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 Fax: 434-572-4712 | |
Dr. William C Maccarty Iii, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 Fax: 434-572-4712 | |
Dr. Paul C Sparks, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 Fax: 434-572-4712 | |
Dr. John L Trotter, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 422 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-4074 |