| Dr Bruce Alfred St Amour Jr, DO | |
|
1900 Electric Rd, Salem, VA 24153-7494 | |
| (540) 776-4000 | |
| (540) 776-4196 |
| Full Name | Dr Bruce Alfred St Amour Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1900 Electric Rd, Salem, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821030040 | NPI | - | NPPES |
| 114832768 | Medicaid | MI | |
| 114773193 | Medicaid | MI | |
| BS014898 | Other | MI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 014898 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 0102205608 (Virginia) | Primary |
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376917070 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Lake Spring Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173 |
| Entity Name | Wildwood Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013409721 PECOS PAC ID: 4789932385 Enrollment ID: O20180730001151 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Alfred St Amour Jr, DO 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Bruce Alfred St Amour Jr, DO 1900 Electric Rd, Salem, VA 24153-7494 Ph: (540) 776-4000 |
Mark E Todd, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Shane P Bossard, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-983-1093 | |
Pratibha Joshi, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-855-3475 | |
Dr. Lourdes Maria Page, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 429 Homeplace Dr, Salem, VA 24153 Phone: 540-529-6870 | |
Robert E Dowling, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1900 Electric Rd, Er Dept, Salem, VA 24153 Phone: 540-776-4970 | |
Dr. Adam Wali Hamidi, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 301-661-1145 | |
Mr. Garth Allen Mills Jr., PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3490 Fax: 540-772-3822 |