Elmer C San Pedro, MD | |
2204 Wilborn Ave, South Boston, VA 24592-1645 | |
(434) 517-3187 | |
(434) 517-3686 |
Full Name | Elmer C San Pedro |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 36 Years |
Location | 2204 Wilborn Ave, South Boston, 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 |
---|---|---|---|
1174532535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101232533 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Halifax Regional Hospital | South boston, VA | Hospital |
Community Memorial Hospital | South hill, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Halifax Radiological Associates, Inc | 9931198280 | 2 |
Halifax Radiological Associates, Inc | 9931198280 | 2 |
Entity Name | Halifax Radiological Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952465064 PECOS PAC ID: 9931198280 Enrollment ID: O20040511000798 |
Mailing Address | Practice Location Address |
---|---|
Elmer C San Pedro, MD 2204 Wilborn Ave, South Boston, VA 24592-1645 Ph: (434) 517-3403 | Elmer C San Pedro, MD 2204 Wilborn Ave, South Boston, VA 24592-1645 Ph: (434) 517-3187 |
Dr. Dennis Clark Stanley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2204 Wilborn Avenue, South Boston, VA 24592 Phone: 434-517-3187 Fax: 434-517-3686 | |
Dr. Arash Chehrazi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100 |