Randolph J Canterbury, MD | |
1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | |
(434) 924-2241 | |
(434) 924-5149 |
Full Name | Randolph J Canterbury |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1300 Jefferson Park Ave, 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 |
---|---|---|---|
1558406504 | NPI | - | NPPES |
007117841 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 0101031544 (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 |
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Randolph J Canterbury, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: (434) 295-1000 | Randolph J Canterbury, MD 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 Ph: (434) 924-2241 |
Robert E Adams, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 Martha Jefferson Dr Fl 4, Charlottesville, VA 22911 Phone: 434-654-8960 Fax: 434-654-8962 | |
Gregory W. Cooper, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 Lee St, Charlottesville, VA 22908 Phone: 434-924-2706 Fax: 434-924-9068 | |
Jim B Tucker, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 310 Old Ivy Way, Charlottesville, VA 22903 Phone: 434-243-6950 Fax: 434-243-6970 | |
Dr. Joseph Jordan David, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 535 Westfield Rd, Suite 100, Charlottesville, VA 22901 Phone: 434-973-9739 Fax: 434-973-0756 | |
Dr. Gregory B Saathoff, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1861 Field Rd, Charlottesville, VA 22903 Phone: 434-531-4331 | |
Paul C Wilkins, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 175 S Pantops Dr Ste 205, Charlottesville, VA 22911 Phone: 434-296-9740 Fax: 434-284-8923 | |
Edward Hiltner Bertram Iii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 Lee St, Charlottesville, VA 22908 Phone: 434-924-2706 Fax: 434-924-9068 |