Dr Ryan Canissario, MD | |
11958 W Broad St, Henrico, VA 23233-1007 | |
(804) 828-9350 | |
Not Available |
Full Name | Dr Ryan Canissario |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 8 Years |
Location | 11958 W Broad St, Henrico, 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 |
---|---|---|---|
1306291349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 0101274874 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical College Of Virginia Hospitals | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcv Associated Physicians | 4385542117 | 1333 |
Entity Name | Mcv Associated Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Canissario, MD Po Box 980599, Richmond, VA 23298-0599 Ph: (804) 682-8963 | Dr Ryan Canissario, MD 11958 W Broad St, Henrico, VA 23233-1007 Ph: (804) 828-9350 |
Kelly G. Gwathmey, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-828-9350 Fax: 804-827-1744 | |
Cheryl Huber, PMHNP-BC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2101 E Parham Rd Ste 102, Henrico, VA 23228 Phone: 804-799-9292 | |
Dr. Scott Robert Haines, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-360-4669 Fax: 804-364-6697 | |
Qihua Fan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-828-9350 Fax: 804-364-6521 | |
Samuel Turner Carrell, MD/PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-360-4669 | |
Matthew J. Barrett, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-828-9350 Fax: 804-364-6521 |