Mark R Wick, | |
Lee St, Charlottesville, VA 22908-0001 | |
(434) 924-0000 | |
Not Available |
Full Name | Mark R Wick |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | Lee St, Charlottesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568531101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 0101221389 (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 |
Mailing Address | Practice Location Address |
---|---|
Mark R Wick, 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 Ph: () - | Mark R Wick, Lee St, Charlottesville, VA 22908-0001 Ph: (434) 924-0000 |
Maria B. Lopes, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 888-882-3990 Fax: 434-243-6499 | |
Miriam Wildeman, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr Fl 3, Charlottesville, VA 22908 Phone: 434-982-4403 Fax: 434-924-0217 | |
Taylor Mcaneney Jenkins, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-982-1018 | |
Nadine S. Aguilera, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 888-882-3990 Fax: 434-243-6499 | |
Dr. William Fredrick Glass Ii, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 888-882-3990 Fax: 434-243-6499 | |
Yubo Wu, DO Pathology Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 888-882-3990 Fax: 434-243-6499 | |
Shyam Sampath Raghavan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 888-882-3990 Fax: 434-243-6499 |