| Berta Lisbeth Granados Ortega, MD | |
|
46a Broad Street Rd, Manakin Sabot, VA 23103-2213 | |
| (804) 708-9480 | |
| (804) 708-0865 |
| Full Name | Berta Lisbeth Granados Ortega |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 46a Broad Street Rd, Manakin Sabot, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760672661 | NPI | - | NPPES |
| 1760672661 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01067659A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 0101248698 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henrico Doctors' Hospital | Richmond, VA | Hospital |
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glenside Medical Associates, Llc | 9032253596 | 10 |
| Entity Name | Glenside Medical Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215936901 PECOS PAC ID: 9032253596 Enrollment ID: O20100222000428 |
| Entity Name | Centerville Family Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306241575 PECOS PAC ID: 9133443021 Enrollment ID: O20150126000106 |
| Mailing Address | Practice Location Address |
|---|---|
| Berta Lisbeth Granados Ortega, MD Po Box 5275, Glen Allen, VA 23058-5275 Ph: (804) 708-9480 | Berta Lisbeth Granados Ortega, MD 46a Broad Street Rd, Manakin Sabot, VA 23103-2213 Ph: (804) 708-9480 |
Ralph D Hellams Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 294 River Rd W, Manakin Sabot, VA 23103 Phone: 804-784-8800 Fax: 804-784-7203 | |
Nelson Chen Fernandez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 46a Broad Street Rd, Manakin Sabot, VA 23103 Phone: 804-708-9480 Fax: 804-708-0865 |