Hendra Augustinus Sanusi, MD | |
535 Westfield Rd, Suite 200, Charlottesville, VA 22901-1725 | |
(434) 973-4040 | |
(434) 974-1780 |
Full Name | Hendra Augustinus Sanusi |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 535 Westfield Rd, Charlottesville, 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 |
---|---|---|---|
1922007053 | NPI | - | NPPES |
142898 | Other | VA | SOUTHERN HEALTH |
005624665 | Medicaid | VA | |
230912 | Other | VA | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101047354 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Interim Healthcare - Charlottesville | Charlottesville, VA | Home health agency |
Continuum Home Health Care | Charlottesville, VA | Home health agency |
Sentara Martha Jefferson Hospital | Charlottesville, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1223 |
Ivyrehab Sept, Llc | 7911990908 | 1173 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Hendra Augustinus Sanusi, MD 535 Westfield Rd, Suite 200, Charlottesville, VA 22901-1725 Ph: (434) 973-4040 | Hendra Augustinus Sanusi, MD 535 Westfield Rd, Suite 200, Charlottesville, VA 22901-1725 Ph: (434) 973-4040 |
Mary Whittemore, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 540 Belvedere Blvd Ste 100, Charlottesville, VA 22901 Phone: 434-654-2830 Fax: 833-232-3632 | |
Kevin Arthur Volkema, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 10th St Ne, Charlottesville, VA 22902 Phone: 434-654-1950 Fax: 434-977-9808 | |
Miss Holly A Johnson, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1244 Clifden Greene, Charlottesville, VA 22901 Phone: 434-975-0243 | |
Timothy E. Mclaughlin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 Four Leaf Ln Ste 103, Charlottesville, VA 22903 Phone: 434-243-0700 Fax: 434-244-0680 | |
Malinda L Whitlow, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1222 Jefferson Park Ave, Charlottesville, VA 22903 Phone: 434-982-3040 Fax: 434-245-3535 | |
Michael R. Harper, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 Timberwood Blvd, Charlottesville, VA 22911 Phone: 434-975-7700 Fax: 434-975-7724 | |
Ava Moore Thomas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 674 Hillsdale Dr Ste 3, Charlottesville, VA 22901 Phone: 434-982-6282 Fax: 434-964-1432 |