| Brian H Halstater, MD | |
|
4916 Plank Rd, North Garden, VA 22959-1613 | |
| (434) 243-4660 | |
| (434) 244-9476 |
| Full Name | Brian H Halstater |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 4916 Plank Rd, North Garden, 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 |
|---|---|---|---|
| 1821101965 | NPI | - | NPPES |
| 00A617560 | Other | CA | MEDICAL PPIN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101278974 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Virginia Medical Center | Charlottesville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Virginia Physicians Group | 4880590728 | 1547 |
| Entity Name | University Of Virginia Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian H Halstater, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: () - | Brian H Halstater, MD 4916 Plank Rd, North Garden, VA 22959-1613 Ph: (434) 243-4660 |
Leroy T. Gravatte Iv, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4916 Plank Rd, North Garden, VA 22959 Phone: 434-243-4660 Fax: 434-244-9476 | |
Andrew R. Lockman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4916 Plank Rd, North Garden, VA 22959 Phone: 434-243-4660 Fax: 434-977-3703 | |
Donna A. Landen, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4916 Plank Rd, North Garden, VA 22959 Phone: 434-243-4660 Fax: 434-977-3703 |