| Corey Black, MD | |
|
13700 St Francis Blvd Ste 100, Midlothian, VA 23114-3222 | |
| (804) 594-7300 | |
| (804) 594-7410 |
| Full Name | Corey Black |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 13700 St Francis Blvd Ste 100, Midlothian, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457398422 | NPI | - | NPPES |
| 0101271663 | Other | VA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101271663 (Virginia) | Primary |
| Entity Name | St Marys Hospital Centralia Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687196 PECOS PAC ID: 6709788920 Enrollment ID: O20040127000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Black, MD 13710 St Francis Blvd Ste 100, Midlothian, VA 23114-3267 Ph: (804) 594-7300 | Corey Black, MD 13700 St Francis Blvd Ste 100, Midlothian, VA 23114-3222 Ph: (804) 594-7300 |
Dr. Jennifer Simpliciano, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Watkins Centre Pkwy Ste 250, Midlothian, VA 23114 Phone: 804-423-8470 Fax: 804-423-8471 | |
Dr. Vicki B Latham-solomon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13901 Coalfield Commons Pl Ste 201, Midlothian, VA 23114 Phone: 804-420-1200 Fax: 804-344-0980 | |
Mark A Gentz, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 505, Midlothian, VA 23114 Phone: 804-601-0609 Fax: 804-594-7424 | |
Shashi Kumar Prabhakar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 600, Midlothian, VA 23114 Phone: 804-794-6400 Fax: 804-897-0910 | |
Francesca Levine Glynn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 510, Midlothian, VA 23114 Phone: 804-423-8470 Fax: 804-423-8471 | |
Morgan L. Vargo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2384 Colony Crossing Pl, Midlothian, VA 23112 Phone: 804-423-3636 | |
Omar F Shams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 600, Midlothian, VA 23114 Phone: 804-794-6400 Fax: 804-897-0910 |