| Westside Medical, P.c. | |
|
1601 Olde William St Ste B Fredericksburg VA 22401-5525 | |
| (540) 371-4488 | |
| (540) 755-2459 |
| Full Name | Westside Medical, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1601 Olde William St Ste B, Fredericksburg, Virginia |
| Authorized Official Name and Position | Matthew J Hengy (PHYSICIAN-OWNER) |
| Authorized Official Contact | 5402879066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Medical, P.c. 6307 Harrison Rd Fredericksburg VA 22407-6363 Ph: (540) 702-8320 | Westside Medical, P.c. 1601 Olde William St Ste B Fredericksburg VA 22401-5525 Ph: (540) 371-4488 |
| NPI Number | 1306875497 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 06/05/2024 |
| Medicare PECOS PAC ID | 1759369408 |
|---|---|
| Medicare Enrollment ID | O20040709000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306875497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102200840 (Virginia) | Primary |
| Provider Name | Matthew J Hengy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801885157 PECOS PAC ID: 4587658026 Enrollment ID: I20040408001142 |
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