Gemila H Bouber, MD | |
1011 E Jefferson St, Charlottesville, VA 22902-5354 | |
(434) 296-9161 | |
Not Available |
Full Name | Gemila H Bouber |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1011 E Jefferson St, Charlottesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679531479 | NPI | - | NPPES |
050607000034 | Other | NY | FIDELIS |
109767DL | Other | NY | PREFERRED CARE |
00355266 | Medicaid | NY | |
1292712 | Other | NY | IHA |
00026563702 | Other | NY | UNIVERA |
P010221757 | Other | NY | BLUE CHOICE |
11121694 | Other | NY | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101246875 (Virginia) | Primary |
208000000X | Pediatrics | 221757 (New York) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Gemila H Bouber, MD 1011 E Jefferson St, Charlottesville, VA 22902-5354 Ph: (340) 296-4916 | Gemila H Bouber, MD 1011 E Jefferson St, Charlottesville, VA 22902-5354 Ph: (434) 296-9161 |
Mr. Michael Douglas Dickens, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902 Phone: 434-296-9161 Fax: 434-296-1036 | |
Linda A. Waggoner Fountain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-0123 Fax: 434-243-3300 | |
Marion Elizabeth Szwedo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902 Phone: 434-296-9161 Fax: 434-977-6068 | |
Dr. Gregory Rees Sturz, DO, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Box 800501, Charlottesville, VA 22908 Phone: 494-942-5321 Fax: 434-982-3816 | |
Anne C Butz, LCSW Pediatrics Medicare: Medicare Enrolled Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-5321 Fax: 434-244-4412 | |
Jessica C Di Zio, PNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-1761 Fax: 434-982-3561 | |
Brooke D. Vergales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2335 Fax: 434-982-0796 |