Dr John A Bantle, MD | |
10519 Brightstone Dr, Midlothian, VA 23112-1570 | |
(816) 807-8333 | |
Not Available |
Full Name | Dr John A Bantle |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 10519 Brightstone Dr, Midlothian, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962447532 | NPI | - | NPPES |
010314453 | Medicaid | VA | |
204990 | Other | VA | BLUE SHIELD |
010290881 | Medicaid | VA | |
010291020 | Medicaid | VA | |
1962447532 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101240013 (Virginia) | Primary |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
Mailing Address | Practice Location Address |
---|---|
Dr John A Bantle, MD 10519 Brightstone Dr, Midlothian, VA 23112-1570 Ph: (816) 807-8333 | Dr John A Bantle, MD 10519 Brightstone Dr, Midlothian, VA 23112-1570 Ph: (816) 807-8333 |
Dr. Umaran Choudry, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13700 St Francis Blvd, Emergency Medicine Department, Midlothian, VA 23114 Phone: 804-594-7950 Fax: 804-594-7955 | |
Dr. Margaret A Dolan, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3900 Old Gun Rd W, Midlothian, VA 23113 Phone: 804-363-0937 Fax: 804-447-7541 | |
William Watterson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2410 Pagehurst Drive, Midlothian, VA 23113 Phone: 804-897-6140 Fax: 804-897-6141 | |
Alexis Anne Dimaio, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13700 St Francis Blvd, Emergency Department, Midlothian, VA 23114 Phone: 804-594-7950 Fax: 804-594-7955 | |
Christian Jenski, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13911 St. Francis Blvd, #101, Midlothian, VA 23114 Phone: 804-221-4506 Fax: 804-423-9929 | |
Andrea L Archer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13710 St Francis Blvd, Midlothian, VA 23114 Phone: 804-594-7950 Fax: 804-594-7955 | |
Dr. William Marc Barnett, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13700 St Francis Blvd, Midlothian, VA 23114 Phone: 804-594-7950 |