Dr Linda P Gottfried, MD | |
4374 New Town Ave, Ste 202, Williamsburg, VA 23188-2865 | |
(757) 259-5116 | |
(757) 510-9063 |
Full Name | Dr Linda P Gottfried |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4374 New Town Ave, Williamsburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851366751 | NPI | - | NPPES |
010099978 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101053057 (Virginia) | Primary |
Entity Name | Sentara Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
Entity Name | Childrens Specialty Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Mailing Address | Practice Location Address |
---|---|
Dr Linda P Gottfried, MD 4374 New Town Ave, Ste 202, Williamsburg, VA 23188-2865 Ph: (757) 259-5116 | Dr Linda P Gottfried, MD 4374 New Town Ave, Ste 202, Williamsburg, VA 23188-2865 Ph: (757) 259-5116 |
Mark C Downey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 119 Bulifants Blvd, Williamsburg, VA 23188 Phone: 757-564-7337 Fax: 757-564-3205 | |
Dr. Maurice E Graham, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4374 New Town Ave, Ste 202, Williamsburg, VA 23188 Phone: 757-253-5757 Fax: 757-510-9063 | |
Dr. Dan F Via, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4374 New Town Ave, Ste 202, Williamsburg, VA 23188 Phone: 757-253-5757 Fax: 757-510-9063 | |
Dr. Ertle Clennie Jones Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 119 Bulifants Blvd, Williamsburg, VA 23188 Phone: 757-564-7337 | |
Dr. Cynthia T Portal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 108 Harbourside, Williamsburg, VA 23188 Phone: 757-229-9378 | |
Dr. Elizabeth De Falcon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 119 Bulifants Blvd, Williamsburg, VA 23188 Phone: 757-564-7337 | |
Dr. Steven C Mares, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1162 Professional Dr, Williamsburg, VA 23185 Phone: 757-253-5757 Fax: 757-229-0265 |