Gregory Bass, MD | |
7519 Hospital Dr, Gloucester, VA 23061-4178 | |
(804) 693-8800 | |
Not Available |
Full Name | Gregory Bass |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 7519 Hospital 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 |
---|---|---|---|
1265457618 | NPI | - | NPPES |
1265457618 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 044164 (Georgia) | Secondary |
207P00000X | Emergency Medicine | 0101-221456 (Virginia) | Primary |
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
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Gregory Bass, MD 5721 Kings Ridge Rd, Gloucester, VA 23061-4336 Ph: (804) 695-0941 | Gregory Bass, MD 7519 Hospital Dr, Gloucester, VA 23061-4178 Ph: (804) 693-8800 |
James Fish, M.D., FACEP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7519 Hospital Dr, Gloucester, VA 23061 Phone: 757-594-2000 | |
Dr. Devon Maurice Taylor, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7519 Hospital Dr, Gloucester, VA 23061 Phone: 804-693-8899 Fax: 804-693-8810 | |
Dr. Gerald A Packer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5659 Parkway Dr, Ste 100, Gloucester, VA 23061 Phone: 804-210-1005 Fax: 804-210-1009 | |
Harrison H Richardson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7519 Hospital Dr, Gloucester, VA 23061 Phone: 804-693-8800 Fax: 804-693-8812 |