Sandra Lindsay Boisseau, MD | |
4620 S Laburnum Ave, Richmond, VA 23231-2424 | |
(804) 222-7474 | |
(804) 222-0458 |
Full Name | Sandra Lindsay Boisseau |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4620 S Laburnum Ave, Richmond, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215972427 | NPI | - | NPPES |
010199450 | Medicaid | VA | |
4065057 | Other | VA | AETNA LIFE |
1426978 | Other | VA | CIGNA |
333717 | Other | VA | ANTHEM BSBS OF VA |
45892 | Other | VA | SENTARA |
293614 | Other | VA | MAMSI |
79152 | Other | VA | SOUTHERN HEALTH SERVICES |
4065057 | Other | VA | AETNA HMO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101031925 (Virginia) | Primary |
Entity Name | Bon Secours Memorial Regional Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881795557 PECOS PAC ID: 6507775293 Enrollment ID: O20040726000687 |
Mailing Address | Practice Location Address |
---|---|
Sandra Lindsay Boisseau, MD 4620 S Laburnum Ave, Richmond, VA 23231-2424 Ph: (804) 222-7474 | Sandra Lindsay Boisseau, MD 4620 S Laburnum Ave, Richmond, VA 23231-2424 Ph: (804) 222-7474 |
Marieka Ann Helou, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 N 11th St, Nelson Clinic, 2nd Floor, Room 210, Richmond, VA 23298 Phone: 804-828-9300 | |
Rhoda B Mahoney, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Dr. Tracy Stroma Mcneish, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9900 Independence Park Dr, Suite 100, Richmond, VA 23233 Phone: 804-747-1855 Fax: 804-762-8837 | |
Dr. Burak Gumuscu, MD, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 5855 Bremo Road, Mob North,, Suite 703, Richmond, VA 23226 Phone: 804-281-8182 | |
Kathryn B Russell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Jan N. Dalby, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Randall Wayne Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7101 Jahnke Rd, 2nd Floor, Richmond, VA 23225 Phone: 804-323-8893 |