Theodore Ilie Cisu, MD | |
70 Medical Center Cir Ste 107, Fishersville, VA 22939-2273 | |
(540) 332-5630 | |
(540) 332-5631 |
Full Name | Theodore Ilie Cisu |
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Gender | Male |
Speciality | Urology |
Location | 70 Medical Center Cir Ste 107, 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 |
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1891285417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208800000X | Urology | 0101277959 (Virginia) | Primary |
Entity Name | Blue Ridge Urological Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528394228 PECOS PAC ID: 3779622196 Enrollment ID: O20091124000706 |
Mailing Address | Practice Location Address |
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Theodore Ilie Cisu, MD Po Box 388, Fishersville, VA 22939-0388 Ph: () - | Theodore Ilie Cisu, MD 70 Medical Center Cir Ste 107, Fishersville, VA 22939-2273 Ph: (540) 332-5630 |
Carie Daniel Buckley Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Center Cir, Suite 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 | |
Stephen Earl Schmitz, M.D Urology Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Center Cir Ste 208, Fishersville, VA 22939 Phone: 540-932-5926 | |
Phillips Respess Bryan Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Center Cir, Suite 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 | |
William Rowland Jones Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 70 Medical Center Cir, Suite 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 | |
Dr. Sam D. Graham, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 70 Medical Center Cir Ste 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 |