James Fish, MD, FACEP | |
7519 Hospital Dr, Gloucester, VA 23061-4178 | |
(757) 594-2000 | |
Not Available |
Full Name | James Fish |
---|---|
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 |
---|---|---|---|
1316964885 | NPI | - | NPPES |
005821835 | Medicaid | VA | |
1316964885 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101-029550 (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 |
---|---|
James Fish, MD, FACEP Po Box 601789, Charlotte, NC 28260-1789 Ph: (866) 916-5259 | James Fish, MD, FACEP 7519 Hospital Dr, Gloucester, VA 23061-4178 Ph: (757) 594-2000 |
Gregory Bass, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7519 Hospital Dr, Gloucester, VA 23061 Phone: 804-693-8800 | |
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 |