Dr Wendell T Poulsen Jr, MD | |
5659 Parkway Dr, Ste 100, Gloucester, VA 23061-3792 | |
(804) 210-1005 | |
(804) 210-1009 |
Full Name | Dr Wendell T Poulsen Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 5659 Parkway Dr, Gloucester, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457326811 | NPI | - | NPPES |
010156041 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101031371 (Virginia) | Primary |
Entity Name | Gloucester Mathews Care Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184051575 PECOS PAC ID: 2961731955 Enrollment ID: O20190917002891 |
Mailing Address | Practice Location Address |
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Dr Wendell T Poulsen Jr, MD 5659 Parkway Dr, Ste 100, Gloucester, VA 23061-3792 Ph: (804) 210-1005 | Dr Wendell T Poulsen Jr, MD 5659 Parkway Dr, Ste 100, Gloucester, VA 23061-3792 Ph: (804) 210-1005 |
David Glenn Belvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5659 Parkway Dr Ste 210, Gloucester, VA 23061 Phone: 804-210-1025 Fax: 757-510-9059 | |
Dr. Francis Thornton West Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6506 Main Street, Gloucester, VA 23061 Phone: 804-684-5043 Fax: 804-684-5392 | |
Dr. Richard Riddick Honablue Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8025 Belroi Rd, Gloucester, VA 23061 Phone: 804-693-5528 Fax: 804-695-0298 | |
Dr. Joseph A. Leming, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6760 Main St, Gloucester, VA 23061 Phone: 804-693-3500 Fax: 804-693-3503 | |
Blair Williams Nein, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6609 Main St, Gloucester, VA 23061 Phone: 804-824-9153 | |
Mrs. Virginia L Herbert, M.D, F.A.C.S. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7554 Hospital Dr Ste D-303, Gloucester, VA 23061 Phone: 804-693-3400 |