Joanne Rue Wunderlich, MD | |
1005 Commercial Ln, Suite 220, Suffolk, VA 23434-8149 | |
(757) 668-2600 | |
(757) 668-2620 |
Full Name | Joanne Rue Wunderlich |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1005 Commercial Ln, Suffolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821053422 | NPI | - | NPPES |
890629C | Medicaid | NC | |
370006854 | Other | VA | RAILROAD MEDICARE |
6712525 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101052372 (Virginia) | Primary |
Entity Name | Childrens Specialty Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Mailing Address | Practice Location Address |
---|---|
Joanne Rue Wunderlich, MD 1005 Commercial Ln, Suite 220, Suffolk, VA 23434-8149 Ph: (757) 668-2600 | Joanne Rue Wunderlich, MD 1005 Commercial Ln, Suite 220, Suffolk, VA 23434-8149 Ph: (757) 668-2600 |
Jessica Saxbury, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3060 Godwin Blvd, Suffolk, VA 23434 Phone: 757-923-9660 Fax: 757-923-9665 | |
Dr. Nellie M Sankaran, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 440 W Washington St, Suffolk, VA 23439 Phone: 757-539-4822 Fax: 757-925-0346 | |
Dr. Jane Melinda Robertson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1009 Hillpoint Blvd., Suffolk, VA 23434 Phone: 757-668-2250 Fax: 757-668-2255 | |
Peter Charles Grosso, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1005 Commercial Lane, Godwin Bldg On Rt 10, Suite 220, Suffolk, VA 23434 Phone: 757-668-2600 Fax: 757-668-2620 | |
Ms. Brittney S Drames, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1009 Hillpoint Blvd N, Suffolk, VA 23434 Phone: 757-668-2250 Fax: 757-668-2255 | |
Dr. Laura Schuetz Wright, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4868 Bridge Rd, Suffolk, VA 23435 Phone: 757-483-7113 Fax: 757-483-7151 | |
Douglas Blair Gregory, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4868 Bridge Road, Suffolk, VA 23435 Phone: 757-483-7900 Fax: 757-483-7151 |