Samuel Cross, | |
57 Beam Ln Ste 202, Fishersville, VA 22939-2350 | |
(540) 932-0980 | |
(540) 932-0979 |
Full Name | Samuel Cross |
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Gender | Male |
Speciality | Pediatrics |
Location | 57 Beam Ln Ste 202, 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 |
---|---|---|---|
1407389703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101268899 (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 |
---|---|
Samuel Cross, Po Box 9007, Charlottesville, VA 22906-9007 Ph: () - | Samuel Cross, 57 Beam Ln Ste 202, Fishersville, VA 22939-2350 Ph: (540) 932-0980 |
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 | |
Angela Marianela Michaels, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-932-4075 Fax: 540-932-5199 | |
Michael L Gwaltney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-932-4075 Fax: 540-932-5199 | |
Krista Rose Roncone, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-332-4000 |