Amr Etman, MD | |
541 Sunset Ln Ste 301, Culpeper, VA 22701-3979 | |
(540) 825-4557 | |
(540) 825-4566 |
Full Name | Amr Etman |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 541 Sunset Ln Ste 301, Culpeper, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932362985 | NPI | - | NPPES |
830306180 | Other | WY | TAX ID |
8029A | Other | WY | WYOMING LICENSE# |
124781600 | Medicaid | WY | |
0101257200 | Other | VA | LICENSE |
307009 | Other | WY | CHWHC MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 8029A (Wyoming) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 0101257200 (Virginia) | Primary |
Entity Name | Ridgeline Physician Services Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952627119 PECOS PAC ID: 5799817250 Enrollment ID: O20100719000563 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Amr Etman, MD 3000 College Dr, Rock Springs, WY 82901-4202 Ph: (307) 362-1861 | Amr Etman, MD 541 Sunset Ln Ste 301, Culpeper, VA 22701-3979 Ph: (540) 825-4557 |
Iris T Amarante, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 633 Sunset Ln Ste A, Culpeper, VA 22701 Phone: 540-321-3002 Fax: 540-829-0019 | |
Alta J. Deroo, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 767 Madison Rd Ste 107, Culpeper, VA 22701 Phone: 703-214-5825 | |
Karl Martin Beier, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 541 Sunset Ln, Suite 302, Culpeper, VA 22701 Phone: 540-825-8550 Fax: 540-825-8275 | |
Kevin D Stocker, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 541 Sunset Ln, Ste 103, Culpeper, VA 22701 Phone: 540-321-3002 Fax: 540-829-0019 | |
Matthew Richard Kucia, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 633 Sunset Ln Ste A, Culpeper, VA 22701 Phone: 540-321-3002 Fax: 540-829-0019 | |
Misty R Shoemaker, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 541 Sunset Ln, # 301, Culpeper, VA 22701 Phone: 540-825-4557 Fax: 540-825-4566 | |
Peter Edward Godfrey, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 541 Sunset Ln, Suite 301, Culpeper, VA 22701 Phone: 540-825-4557 Fax: 540-825-4566 |