| Bleck B Ngwafang, MD | |
|
13540 Hull Street Rd, C/o Tonya Agosto, Midlothian, VA 23112-2107 | |
| (804) 739-6142 | |
| Not Available |
| Full Name | Bleck B Ngwafang |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 8 Years |
| Location | 13540 Hull Street Rd, Midlothian, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962938803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 101267223 (Virginia) | Secondary |
| 208M00000X | Hospitalist | 0101267223 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 0101267223 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Bon Secours Richmond Community Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vituity-virginia Hospitalists Pc | 6507245131 | 94 |
| Entity Name | Vituity-virginia Hospitalists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518611011 PECOS PAC ID: 6507245131 Enrollment ID: O20220628001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Bleck B Ngwafang, MD 13540 Hull Street Rd, Midlothian, VA 23112-2107 Ph: (804) 739-6142 | Bleck B Ngwafang, MD 13540 Hull Street Rd, C/o Tonya Agosto, Midlothian, VA 23112-2107 Ph: (804) 739-6142 |
Thirosha Thirunavukarasu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15769 Wc Main St, Midlothian, VA 23113 Phone: 804-794-5598 | |
Dr. Gretchen D Lockard, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 13911 St Francis Blvd Ste 101, Midlothian, VA 23114 Phone: 804-320-3999 Fax: 804-423-9929 | |
Dr. Olufunlayo Baldauf-dean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13710 St Francis Blvd Ste 510, Midlothian, VA 23114 Phone: 804-423-5050 Fax: 804-423-5050 | |
Mrs. Bailey Marie Gonzalez, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6813 Velvet Antler Ct, Midlothian, VA 23112 Phone: 804-229-4476 | |
John G. Barnes, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 15769 Wc Main St, Midlothian, VA 23113 Phone: 804-419-9702 Fax: 804-378-9143 | |
Saba Naz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13540 Hull Street Rd, St. Francis Family Medicine, Midlothian, VA 23112 Phone: 804-739-6142 Fax: 804-739-8923 | |
Dr. Stephanie A. Crawford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13540 Hull Street Rd, Midlothian, VA 23112 Phone: 804-739-6142 |