Kenneth Roberts Simpson Jr, MD | |
7255 Hanover Green Dr, Mechanicsville, VA 23111-1706 | |
(804) 730-1111 | |
(804) 730-9764 |
Full Name | Kenneth Roberts Simpson Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 7255 Hanover Green Dr, Mechanicsville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679530323 | NPI | - | NPPES |
005680174 | Medicaid | VA | |
5634083 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101036895 (Virginia) | Primary |
Entity Name | Greater Virginia Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417978768 PECOS PAC ID: 9032017579 Enrollment ID: O20031222000692 |
Entity Name | Virginia Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629175823 PECOS PAC ID: 5597650804 Enrollment ID: O20040217000137 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Roberts Simpson Jr, MD 7255 Hanover Green Dr, Mechanicsville, VA 23111-1706 Ph: (804) 730-1111 | Kenneth Roberts Simpson Jr, MD 7255 Hanover Green Dr, Mechanicsville, VA 23111-1706 Ph: (804) 730-1111 |
Dr. Jon Randall Frederick, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8260 Atlee Rd, Emergency Dept, Mechanicsville, VA 23116 Phone: 804-764-6300 Fax: 804-764-6562 | |
Dr. Kevin J Sahli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7571 Cold Harbor Rd, Mechanicsville, VA 23111 Phone: 804-746-9055 Fax: 804-746-4476 | |
Brent A Logie, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9376 Atlee Station Rd, Hanover Family Physicians Pc, Mechanicsville, VA 23116 Phone: 804-730-0990 Fax: 804-730-8752 | |
Dr. Mark Goldberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7238 Mechanicsville Tpke, Mechanicsville, VA 23111 Phone: 804-559-9900 Fax: 804-559-6530 | |
Christopher P Lake, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8200 Meadowbridge Rd Ste 200, Mechanicsville, VA 23116 Phone: 804-730-2121 | |
Michael J Petrizzi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9376 Atlee Station Rd, Hanover Family Physicians Pc, Mechanicsville, VA 23116 Phone: 804-730-0990 Fax: 804-730-8752 | |
Jethro Haslett Piland Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7255 Hanover Green Dr, Mechanicsville, VA 23111 Phone: 804-730-1111 Fax: 804-730-9764 |