Michael A Dawson, MD | |
9900 W Broad St, Suite C, Glen Allen, VA 23060-6512 | |
(804) 358-0361 | |
(804) 358-4286 |
Full Name | Michael A Dawson |
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Gender | Male |
Speciality | Family Medicine |
Location | 9900 W Broad St, Glen Allen, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275562720 | NPI | - | NPPES |
000738295K | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 043192 (Georgia) | Secondary |
207Q00000X | Family Medicine | 0101252765 (Virginia) | Primary |
Entity Name | Bon Secours Memorial Regional Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881795557 PECOS PAC ID: 6507775293 Enrollment ID: O20040726000687 |
Mailing Address | Practice Location Address |
---|---|
Michael A Dawson, MD 3637 Evershot Dr, Midlothian, VA 23112-4487 Ph: (478) 714-2970 | Michael A Dawson, MD 9900 W Broad St, Suite C, Glen Allen, VA 23060-6512 Ph: (804) 358-0361 |
Dr. Randy M Zeid, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 Cox Rd, Glen Allen, VA 23060 Phone: 804-968-5700 | |
Peter V Minneci, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11201 Nuckols Rd, Glen Allen, VA 23059 Phone: 804-887-8322 Fax: 804-877-8321 | |
Sheri L. Payne Tignor, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10412 Washington Hwy, Glen Allen, VA 23059 Phone: 804-248-4728 | |
Dr. Brian C. Bittner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5416 Hillshire Way, Glen Allen, VA 23059 Phone: 804-449-1717 | |
Dr. Christopher Newell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11357 Nuckols Rd, # 163, Glen Allen, VA 23059 Phone: 804-833-8795 Fax: 703-802-4730 | |
Ali A Mollah, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5310 Twin Hickory Rd, Glen Allen, VA 23059 Phone: 804-346-4545 Fax: 804-346-4556 |