| David E Berry, DO | |
|
817 Davis St Ste A, Blacksburg, VA 24060-7004 | |
| (540) 443-3940 | |
| (540) 443-3944 |
| Full Name | David E Berry |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 817 Davis St Ste A, Blacksburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124082060 | NPI | - | NPPES |
| 010372241 | Medicaid | VA | |
| 006726721 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0102052848 (Virginia) | Primary |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| David E Berry, DO 817 Davis St Ste A, Blacksburg, VA 24060-7004 Ph: (540) 443-3940 | David E Berry, DO 817 Davis St Ste A, Blacksburg, VA 24060-7004 Ph: (540) 443-3940 |
Alina H Tobey, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1691 Innovation Dr Ste 2100, Blacksburg, VA 24060 Phone: 540-232-8405 | |
Mrs. Jordan Lynn Klein, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 S Main St, Blacksburg, VA 24060 Phone: 540-739-3623 | |
Ann Shaw Collins, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3700 S Main St, Suite A, Blacksburg, VA 24060 Phone: 540-443-7180 Fax: 540-443-7182 | |
Dr. Patty Anne Chitwood, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Schiffert Health Center-virginia Tech, Nccomas Hall, Blacksburg, VA 24060 Phone: 540-231-6444 Fax: 540-231-7473 | |
Dr. Sofia Elainne Abraham-hardee, D.O/PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3708 S Main St Ste B, Blacksburg, VA 24060 Phone: 540-739-3623 Fax: 540-408-0428 | |
Sammy Elyas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 S Main St, Blacksburg, VA 24060 Phone: 540-951-1111 |