Dr Justin Hickman, MD | |
5115 Bernard Dr Ste 201, Roanoke, VA 24018-4367 | |
(540) 345-0289 | |
(540) 345-9569 |
Full Name | Dr Justin Hickman |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 7 Years |
Location | 5115 Bernard Dr Ste 201, Roanoke, 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 |
---|---|---|---|
1942731575 | NPI | - | NPPES |
1942731575 | Medicaid | WV | |
1942731575 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 0101272390 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carilion Medical Center | Roanoke, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Acv Inc | 3870633936 | 62 |
Entity Name | Acv Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881927259 PECOS PAC ID: 3870633936 Enrollment ID: O20091221000602 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Hickman, MD 1215 Lee St, Box 800710, Charlottesville, VA 22908-0816 Ph: (434) 982-0629 | Dr Justin Hickman, MD 5115 Bernard Dr Ste 201, Roanoke, VA 24018-4367 Ph: (540) 345-0289 |
Dr. David S. Hunt, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 5115 Bernard Dr, Suite 201, Roanoke, VA 24018 Phone: 540-345-0289 Fax: 540-345-9569 | |
Dr. Teodulo Remandaban, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5115 Bernard Dr, Suite 201, Roanoke, VA 24018 Phone: 540-345-0289 Fax: 540-345-9569 | |
Dr. Elizabeth H. Duckworth, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5115 Bernard Dr, Suite 201, Roanoke, VA 24018 Phone: 540-345-0289 Fax: 540-345-9569 | |
Dr. Charles K. Gadpaille, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5115 Bernard Dr, Suite 201, Roanoke, VA 24018 Phone: 540-345-0289 Fax: 540-345-9569 | |
Howard H Lau, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 | |
Dr. George Landon Smith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5115 Bernard Dr Ste 201, Roanoke, VA 24018 Phone: 540-345-0289 | |
Dr. Neil A. Macdonald, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5115 Bernard Dr Ste 201, Roanoke, VA 24018 Phone: 540-345-0289 Fax: 540-345-9569 |