| Meredith Paige Whittaker, | |
|
4548 Empire Ct, Fredericksburg, VA 22408-1939 | |
| (540) 373-2244 | |
| Not Available |
| Full Name | Meredith Paige Whittaker |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 4548 Empire Ct, Fredericksburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609366178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R76726 (Arizona) | Primary |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Meredith Paige Whittaker, 1501 N Campbell Ave Rm 4334d, Tucson, AZ 85724-5058 Ph: (520) 626-7747 | Meredith Paige Whittaker, 4548 Empire Ct, Fredericksburg, VA 22408-1939 Ph: (540) 373-2244 |
Dr. Frank Lawrence Koenig Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-361-1000 Fax: 540-361-7010 | |
Dr. Paulino D Sambat Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 106 Falcon Dr, Fredericksburg, VA 22408 Phone: 540-898-8400 Fax: 540-898-6642 | |
Dr. Louis Benedict Massad, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 110 Chatham Ln, Fredericksburg, VA 22405 Phone: 540-373-1431 | |
Dr. Howard P Heppe, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3312 Fall Hill Ave, Fredericksburg, VA 22401 Phone: 540-371-7730 Fax: 540-371-4790 | |
Mr. Balvant Parashram Arora, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1101 Sam Perry Blvd., Suite 121, Fredericksburg, VA 22401 Phone: 540-899-1600 Fax: 540-899-1606 | |
Dr. Harold C Bautista, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3312 Fall Hill Ave, Fredericksburg, VA 22401 Phone: 540-371-7730 Fax: 540-371-4790 | |
William Dudley Sasser, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5616 East Kesslers Crossing, Fredericksburg, VA 22407 Phone: 540-373-1428 |