Michael L Gwaltney, MD | |
78 Medical Center Dr, Fishersville, VA 22939-2332 | |
(540) 932-4075 | |
(540) 932-5199 |
Full Name | Michael L Gwaltney |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 78 Medical Center Dr, Fishersville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386802015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101249737 (Virginia) | Primary |
Entity Name | Winchester Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679711261 PECOS PAC ID: 0244134021 Enrollment ID: O20031124000061 |
Entity Name | Inova Health Care Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
Entity Name | Adfinitas Health At Fauquier Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225558109 PECOS PAC ID: 1557627494 Enrollment ID: O20171109002793 |
Mailing Address | Practice Location Address |
---|---|
Michael L Gwaltney, MD Po Box 388, Fishersville, VA 22939-0388 Ph: (540) 932-5162 | Michael L Gwaltney, MD 78 Medical Center Dr, Fishersville, VA 22939-2332 Ph: (540) 932-4075 |
Michelle A. Brooks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Beam Ln Ste 202, Fishersville, VA 22939 Phone: 540-932-0980 Fax: 434-932-0979 | |
Rebecca L Isbell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 N Medical Park Dr, Fishersville, VA 22939 Phone: 540-932-5373 Fax: 540-932-5382 | |
John Stephen Campbell, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 184 Hickory Hill Rd, Fishersville, VA 22939 Phone: 540-932-2222 Fax: 540-886-7364 | |
Samuel Cross, Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Beam Ln Ste 202, Fishersville, VA 22939 Phone: 540-932-0980 Fax: 540-932-0979 | |
Krista Rose Roncone, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-332-4000 | |
Mr. Evan B Karp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Beam Ln Ste 202, Fishersville, VA 22939 Phone: 540-932-0980 Fax: 540-932-0979 |