Kelly David Gage, MD | |
618 Hospital Road, Riverside Tappahannock Hospital, Tappahannock, VA 22560-5000 | |
(804) 443-6044 | |
(757) 867-7547 |
Full Name | Kelly David Gage |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 25 Years |
Location | 618 Hospital Road, Tappahannock, 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 |
---|---|---|---|
1356324370 | NPI | - | NPPES |
1356324370 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 01053434A (Indiana) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 0101242665 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Walter Reed Hospital | Gloucester, VA | Hospital |
Riverside Regional Medical Center | Newport news, VA | Hospital |
Riverside Shore Memorial Hospital | Onancock, VA | Hospital |
Riverside Doctors' Hospital Of Williamsburg | Williamsburg, VA | Hospital |
Sentara Williamsburg Regional Medical Center | Williamsburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peninsula Radiological Associates Ltd | 5991603573 | 22 |
Entity Name | Peninsula Radiological Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114030426 PECOS PAC ID: 5991603573 Enrollment ID: O20040428001336 |
Entity Name | Virtual Radiologic Professionals Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20070201000069 |
Mailing Address | Practice Location Address |
---|---|
Kelly David Gage, MD Po Box 12087, Penninsula Radiological Associates, Newport News, VA 23612-2087 Ph: (757) 867-6101 | Kelly David Gage, MD 618 Hospital Road, Riverside Tappahannock Hospital, Tappahannock, VA 22560-5000 Ph: (804) 443-6044 |
Sharon Outten, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 618 Hospital Rd, Tappahannock Hospital, Tappahannock, VA 22560 Phone: 804-443-6044 Fax: 804-443-6045 |