| Rose E Gonzalez, PHD | |
|
1204 W Main St, Charlottesville, VA 22903-2824 | |
| (434) 924-0123 | |
| (434) 243-3300 |
| Full Name | Rose E Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 1204 W Main St, 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 |
|---|---|---|---|
| 1710143789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 0810000348 (Virginia) | Primary |
| 103TC0700X | Psychologist - Clinical | 0810000348 (Virginia) | Secondary |
| Entity Name | University Of Virginia Physicians Group |
|---|---|
| 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 |
|---|---|
| Rose E Gonzalez, PHD Po Box 9007, Charlottesville, VA 22906-9007 Ph: () - | Rose E Gonzalez, PHD 1204 W Main St, Charlottesville, VA 22903-2824 Ph: (434) 924-0123 |
Mr. Michael Douglas Dickens, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902 Phone: 434-296-9161 Fax: 434-296-1036 | |
Linda A. Waggoner Fountain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-0123 Fax: 434-243-3300 | |
Marion Elizabeth Szwedo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902 Phone: 434-296-9161 Fax: 434-977-6068 | |
Dr. Gregory Rees Sturz, DO, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Box 800501, Charlottesville, VA 22908 Phone: 494-942-5321 Fax: 434-982-3816 | |
Anne C Butz, LCSW Pediatrics Medicare: Medicare Enrolled Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-5321 Fax: 434-244-4412 | |
Jessica C Di Zio, PNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-1761 Fax: 434-982-3561 | |
Brooke D. Vergales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2335 Fax: 434-982-0796 |