Kelly G Gwathmey, MD | |
11958 W Broad St, Henrico, VA 23233-1007 | |
(804) 828-9350 | |
(804) 827-1744 |
Full Name | Kelly G Gwathmey |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 17 Years |
Location | 11958 W Broad St, Henrico, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073716775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 0101250349 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Midlothian, VA | Home health agency |
Medical College Of Virginia Hospitals | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcv Associated Physicians | 4385542117 | 1333 |
Ivyrehab Sept, Llc | 7911990908 | 1173 |
Entity Name | Mcv Associated Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
Entity Name | University Of Virginia Physicians Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
Mailing Address | Practice Location Address |
---|---|
Kelly G Gwathmey, MD Po Box 91734, Richmond, VA 23291-1734 Ph: (804) 358-6100 | Kelly G Gwathmey, MD 11958 W Broad St, Henrico, VA 23233-1007 Ph: (804) 828-9350 |
Cheryl Huber, PMHNP-BC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2101 E Parham Rd Ste 102, Henrico, VA 23228 Phone: 804-799-9292 | |
Dr. Ryan Canissario, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-828-9350 | |
Dr. Scott Robert Haines, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-360-4669 Fax: 804-364-6697 | |
Qihua Fan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-828-9350 Fax: 804-364-6521 | |
Matthew J. Barrett, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11958 W Broad St, Henrico, VA 23233 Phone: 804-828-9350 Fax: 804-364-6521 |