Dr John William Summerville, MD | |
200 Medical Park Blvd, Petersburg, VA 23805 | |
(615) 221-4400 | |
Not Available |
Full Name | Dr John William Summerville |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 40 Years |
Location | 200 Medical Park Blvd, Petersburg, 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 |
---|---|---|---|
1982604120 | NPI | - | NPPES |
006603858 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 0101041829 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Pathologists Llc | 0648167544 | 97 |
Entity Name | Associated Pathologists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003863580 PECOS PAC ID: 0648167544 Enrollment ID: O20150203001627 |
Mailing Address | Practice Location Address |
---|---|
Dr John William Summerville, MD 5301 Virginia Way Ste 300, Brentwood, TN 37027-7542 Ph: (615) 221-4400 | Dr John William Summerville, MD 200 Medical Park Blvd, Petersburg, VA 23805 Ph: (615) 221-4400 |
Dr. Danna Elizabeth Johnson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 615-221-4400 | |
Dr. Manuel Borja Gonzales, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 801 S Adams St, Laboratory, Petersburg, VA 23803 Phone: 804-862-5010 | |
Dr. Edward Peter Nikicicz, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 801 S Adams St, Srmc, Lab, Petersburg, VA 23803 Phone: 804-862-5028 | |
Brad Thomas Siegmund, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-862-5010 |