Dr Luther L Wright Jr, MD,MSC,MT(ASCP) | |
524 Southpark Boulevard, Jencare Neighborhood Medical South Park, Llc, Colonial Heights, VA 23834 | |
(804) 504-7980 | |
(804) 504-7991 |
Full Name | Dr Luther L Wright Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 524 Southpark Boulevard, Colonial Heights, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285705228 | NPI | - | NPPES |
1285705228 | Medicaid | VA | |
293417 | Other | VA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101241279 (Virginia) | Primary |
Entity Name | Jencare Neighborhood Medical East Richmond, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891089454 PECOS PAC ID: 3173782398 Enrollment ID: O20120307000919 |
Entity Name | Jencare Neighborhood Medical New Market, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568756948 PECOS PAC ID: 2860652823 Enrollment ID: O20120328000803 |
Entity Name | Jencare Neighborhood Medical South Park Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134489214 PECOS PAC ID: 9931357233 Enrollment ID: O20120911000671 |
Entity Name | Jencare Neighborhood Medical Center Virginia Beach Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770924789 PECOS PAC ID: 8921236167 Enrollment ID: O20140114001303 |
Entity Name | Pmr Virginia Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083167001 PECOS PAC ID: 9537576608 Enrollment ID: O20210408000505 |
Mailing Address | Practice Location Address |
---|---|
Dr Luther L Wright Jr, MD,MSC,MT(ASCP) 524 Southpark Boulevard, Jencare Neighborhood Medical South Park, Llc, Colonial Heights, VA 23834 Ph: (804) 504-7980 | Dr Luther L Wright Jr, MD,MSC,MT(ASCP) 524 Southpark Boulevard, Jencare Neighborhood Medical South Park, Llc, Colonial Heights, VA 23834 Ph: (804) 504-7980 |
Steven R Frelier, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 Claremont Ct, Suite 213, Colonial Heights, VA 23834 Phone: 804-520-2626 Fax: 804-520-0626 | |
Irshad Ahmed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2801 Boulevard, Suite B, Colonial Heights, VA 23834 Phone: 804-524-0524 Fax: 804-524-0520 | |
Dr. George Eromosele Eigbire, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 445 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834 Phone: 804-520-1764 Fax: 804-616-4221 | |
Peter J Riley, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 445 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834 Phone: 804-520-1764 Fax: 804-616-4221 | |
Ambreen Sajjad Siddiquie, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 Temple Ave, Colonial Heights, VA 23834 Phone: 804-518-2597 Fax: 804-518-2598 | |
Dr. Kochurani Cherian Puthumana, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Temple Ave, Colonial Heights, VA 23834 Phone: 804-526-8640 Fax: 804-526-4321 | |
Sarah Shahabuddin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Temple Lake Dr, Suite 5, Colonial Heights, VA 23834 Phone: 804-526-3450 Fax: 804-520-1809 |