Dr Michael A Mistretta, MD | |
6600 W Broad St Ste 300, Richmond, VA 23230-1709 | |
(804) 320-4243 | |
(804) 622-0552 |
Full Name | Dr Michael A Mistretta |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 35 Years |
Location | 6600 W Broad St Ste 300, Richmond, 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 |
---|---|---|---|
1003832817 | NPI | - | NPPES |
80057 | Other | VA | SOUTHER HEALTH PROVIDER # |
12178 | Other | VA | CARENET PROVIDER NUMBER |
005812682 | Medicaid | VA | |
021790 | Other | VA | CIGNA PROVIDER NUMBER |
4800040 | Other | VA | UNITED HEALTHCARE PROV # |
223643 | Other | VA | ANTHEM |
557515 | Other | VA | AETNA |
7044153 | Other | VA | MAMSI PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 0101052617 (Virginia) | Primary |
207RC0200X | Internal Medicine - Critical Care Medicine | 0101052617 (Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Henrico Doctors' Hospital | Richmond, VA | Hospital |
Bon Secours St Marys Hospital | Richmond, VA | Hospital |
Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
Cjw Medical Center | Richmond, VA | Hospital |
Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pulmonary Associates Of Richmond Inc | 8123095577 | 50 |
Entity Name | Pulmonary Associates Of Richmond Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144253444 PECOS PAC ID: 8123095577 Enrollment ID: O20040914001266 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael A Mistretta, MD 1000 Boulders Pkwy, Suite 102, Richmond, VA 23225-5545 Ph: (804) 320-4243 | Dr Michael A Mistretta, MD 6600 W Broad St Ste 300, Richmond, VA 23230-1709 Ph: (804) 320-4243 |
Dr. Amy Samantha May Paul, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall St, Dept. Of Internal Medicine/geriatric Medicine, Richmond, VA 23298 Phone: 804-254-3500 Fax: 804-254-1616 | |
Dr. Clifton Linwood Parker, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 8300 Fulham Drive, Richmond, VA 23227 Phone: 804-264-5901 | |
Patricia J Sime, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 9000 Stony Point Pkwy, Richmond, VA 23235 Phone: 804-560-8921 Fax: 804-560-8992 | |
Dr. Katherine Lavan Smallwood, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 6900 Forest Ave, Suite 300, Richmond, VA 23230 Phone: 804-346-1515 Fax: 804-270-2888 | |
Walid G. Abou Assi, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7605 Forest Ave, Suite 109, Richmond, VA 23229 Phone: 804-285-6390 Fax: 804-285-6393 | |
Dr. Paulina Essah, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 719 N 25th St, Richmond, VA 23223 Phone: 804-253-1963 Fax: 804-780-0862 |