| 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: Accepting Medicare Assignments 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  |