Fitzgerald Marcelin Sr, MD | |
702 N Main St, Emporia, VA 23847-1242 | |
(434) 634-7723 | |
(434) 634-7725 |
Full Name | Fitzgerald Marcelin Sr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 702 N Main St, Emporia, 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 |
---|---|---|---|
1285818229 | NPI | - | NPPES |
5861128 | Medicaid | VA | |
1285818229 | Medicaid | VA | |
89065FC | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101231381 (Virginia) | Primary |
208000000X | Pediatrics | 0101231381 (Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Virginia Regional Home Health | Emporia, VA | Home health agency |
Southern Virginia Regional Medical Center | Emporia, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Dominion Health System Inc | 0648188755 | 17 |
Emergency Medicine Associates Pa Pc | 8022914522 | 383 |
Entity Name | Emergency Medicine Associates Pa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
Entity Name | Southern Dominion Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295706588 PECOS PAC ID: 0648188755 Enrollment ID: O20040611000631 |
Entity Name | Alexandria Springfield Emergency Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740529700 PECOS PAC ID: 1052558954 Enrollment ID: O20200115002186 |
Mailing Address | Practice Location Address |
---|---|
Fitzgerald Marcelin Sr, MD Po Box 70, Victoria, VA 23974-0070 Ph: (434) 696-2165 | Fitzgerald Marcelin Sr, MD 702 N Main St, Emporia, VA 23847-1242 Ph: (434) 634-7723 |
Theopolis Gilliam Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 702 N Main St, Emporia, VA 23847 Phone: 434-594-6603 Fax: 804-765-6651 | |
Dr. Wynne V Legrow, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 Weaver Ave, Emporia, VA 23847 Phone: 434-634-9488 Fax: 434-348-1094 |