| Mechanicsville Medical Center Family Physicians, P.l.l.c. | |
|
7571 Cold Harbor Rd Mechanicsville VA 23111-1631 | |
| (804) 746-9055 | |
| (804) 746-4476 |
| Full Name | Mechanicsville Medical Center Family Physicians, P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7571 Cold Harbor Rd, Mechanicsville, Virginia |
| Authorized Official Name and Position | Ronald R Eagle (FINANCIAL MANAGER) |
| Authorized Official Contact | 8047469055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mechanicsville Medical Center Family Physicians, P.l.l.c. 7571 Cold Harbor Rd Mechanicsville VA 23111-1631 Ph: (804) 746-9055 | Mechanicsville Medical Center Family Physicians, P.l.l.c. 7571 Cold Harbor Rd Mechanicsville VA 23111-1631 Ph: (804) 746-9055 |
| NPI Number | 1386716249 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7810965175 |
|---|---|
| Medicare Enrollment ID | O20040923000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386716249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John F Cornett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609984418 PECOS PAC ID: 1355319617 Enrollment ID: I20040923000837 |
| Provider Name | Kevin J Sahli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033227855 PECOS PAC ID: 2365482023 Enrollment ID: I20050512000115 |
| Provider Name | Laura L Burijon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275692212 PECOS PAC ID: 8527135342 Enrollment ID: I20080920000180 |
| Provider Name | Ian S Shupack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629186481 PECOS PAC ID: 8729121991 Enrollment ID: I20100210000449 |
The Bon Secours Program For Diabetes Health - Memorial Regional Medica Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Meadowbridge Rd Ste 203, Mechanicsville, VA 23116 Phone: 804-764-7885 Fax: 804-559-6185 | |
Peter L. Goodman, M. D.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Meadowbridge Rd, Suite 301, Mechanicsville, VA 23116 Phone: 804-559-0423 Fax: 804-559-1260 | |
Bon Secours Primary Care Associates - Mechanicsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7041 Lee Park Rd, Mechanicsville, VA 23111 Phone: 804-746-3505 Fax: 804-730-8038 | |
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Primedoc Of Richmond Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 843-237-3378 Fax: 843-237-5073 | |
Orthovirginia, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8200 Meadowbridge Road, Suite 100, Mechanicsville, VA 23116 Phone: 804-730-2121 Fax: 804-730-0563 | |
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