Mr Boyd Roy Wickizer Jr, MD | |
200 Medical Park Blvd, Petersburg, VA 23805-9274 | |
(804) 765-5949 | |
(804) 765-6250 |
Full Name | Mr Boyd Roy Wickizer Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 49 Years |
Location | 200 Medical Park Blvd, Petersburg, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750330353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101047692 (Virginia) | Primary |
208600000X | Surgery | 0101047692 (Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
Bon Secours St Marys Hospital | Richmond, VA | Hospital |
Bon Secours Richmond Community Hospital | Richmond, VA | Hospital |
Entity Name | Boyd R Wickizer Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710408117 PECOS PAC ID: 1456624972 Enrollment ID: O20170906000318 |
Mailing Address | Practice Location Address |
---|---|
Mr Boyd Roy Wickizer Jr, MD Po Box 446, Midlothian, VA 23113-0446 Ph: (804) 858-3998 | Mr Boyd Roy Wickizer Jr, MD 200 Medical Park Blvd, Petersburg, VA 23805-9274 Ph: (804) 765-5949 |
Dr. Michael W Cieslinski, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Dr. Mark Militana, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 804 South Adams Street, Petersburg, VA 23803 Phone: 804-862-5680 Fax: 804-862-5698 | |
Benedict Coleman Del Buono, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Robert Schulz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Mrs. Michelle Lorene Bryant-albright, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 S Adams St, Petersburg, VA 23803 Phone: 804-957-6106 | |
Suel Peter Kim, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 S Adams St, Petersburg, VA 23803 Phone: 804-862-5000 | |
Brendan D Mccay, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Em: Emergency Medicine, Petersburg, VA 23805 Phone: 804-765-5000 |