Leroy T Gravatte Iv, MD | |
4916 Plank Rd, North Garden, VA 22959-1613 | |
(434) 243-4660 | |
(434) 244-9476 |
Full Name | Leroy T Gravatte Iv |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4916 Plank Rd, North Garden, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043269129 | NPI | - | NPPES |
10035490 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101042101 (Virginia) | Primary |
Entity Name | University Of Virginia Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
Entity Name | Fauquier Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912334517 PECOS PAC ID: 4880821040 Enrollment ID: O20140121001332 |
Mailing Address | Practice Location Address |
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Leroy T Gravatte Iv, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: () - | Leroy T Gravatte Iv, MD 4916 Plank Rd, North Garden, VA 22959-1613 Ph: (434) 243-4660 |
Andrew R. Lockman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4916 Plank Rd, North Garden, VA 22959 Phone: 434-243-4660 Fax: 434-977-3703 | |
Donna A. Landen, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4916 Plank Rd, North Garden, VA 22959 Phone: 434-243-4660 Fax: 434-977-3703 | |
Brian H Halstater, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4916 Plank Rd, North Garden, VA 22959 Phone: 434-243-4660 Fax: 434-244-9476 |