Dr Timothy Roddy Shaver, MD | |
1860 Town Center Dr Ste 440, Reston, VA 20190-5908 | |
(571) 554-8950 | |
(571) 554-8951 |
Full Name | Dr Timothy Roddy Shaver |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 42 Years |
Location | 1860 Town Center Dr Ste 440, Reston, 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 |
---|---|---|---|
1417950981 | NPI | - | NPPES |
051838700 | Medicaid | DC | |
010068096 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101049305 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centra Medical Group Llc | 4789606088 | 636 |
Entity Name | Centra Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy Roddy Shaver, MD 5290 Chandley Farm Cir, Centreville, VA 20120-1235 Ph: (703) 371-6155 | Dr Timothy Roddy Shaver, MD 1860 Town Center Dr Ste 440, Reston, VA 20190-5908 Ph: (571) 554-8950 |
Dr. Karim Sami Trad, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Town Center Drive, Suite 218, Reston, VA 20190 Phone: 703-796-0370 Fax: 703-796-0373 | |
Dr. Elizabeth D Feldman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr Ste 460, Reston, VA 20190 Phone: 032-089-3957 Fax: 703-437-6549 | |
Dr. Bruce M Freedman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Town Center Dr, Ste 413, Reston, VA 20190 Phone: 703-790-5700 Fax: 703-827-8730 | |
Matthew A Fitzer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850a Town Center Pkwy, Suite 301, Reston, VA 20190 Phone: 703-709-9701 Fax: 703-709-8084 | |
Dr. Brett Allen Sachse, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1830 Town Center Dr, Suite 102, Reston, VA 20190 Phone: 571-512-5300 Fax: 571-699-0445 | |
Robert Stephen Podolsky, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12005 Sunrise Valley Drive, Suite 120, Reston, VA 20191 Phone: 571-375-7174 Fax: 571-375-7177 |