Wendy Evans, DO | |
10150 Staples Mill Rd, Suite C, Glen Allen, VA 23060-3452 | |
(804) 755-7581 | |
(804) 755-7586 |
Full Name | Wendy Evans |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 10150 Staples Mill Rd, Glen Allen, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093007650 | NPI | - | NPPES |
C06115 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OT014122 (Pennsylvania) | Secondary |
208000000X | Pediatrics | 0102203801 (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 |
---|---|
Wendy Evans, DO 10150 Staples Mill Rd, Suite C, Glen Allen, VA 23060-3452 Ph: (804) 755-7581 | Wendy Evans, DO 10150 Staples Mill Rd, Suite C, Glen Allen, VA 23060-3452 Ph: (804) 755-7581 |
Charlotte Anne Vellenoweth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11551 Nuckols Rd Ste F, Glen Allen, VA 23059 Phone: 804-364-4400 Fax: 803-364-0120 | |
Dr. Edward James Wiley Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3990 Stillman Pkwy, Glen Allen, VA 23060 Phone: 804-282-4210 Fax: 804-282-4250 | |
Dr. Grover C. Robinson Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10571 Telegraph Rd, Suite 110, Glen Allen, VA 23059 Phone: 804-266-9616 Fax: 804-261-4935 | |
Dr. Annemarie Gililland Tull, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10571 Telegraph Rd, Suite 110, Glen Allen, VA 23059 Phone: 804-266-9616 Fax: 804-261-4935 | |
Dr. Olabisi Oyetokunbo Oshikanlu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2420 Old Brick Rd, Apt #1417, Glen Allen, VA 23060 Phone: 318-581-0903 | |
Tamara Alberti Sutherland, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11551 Nuckols Rd, Suite F, Glen Allen, VA 23059 Phone: 804-364-4400 Fax: 804-364-0120 |