| Demetria Y Gordon, MD | |
|
7515 Right Flank Road, Mechanicsville, VA 23116-3818 | |
| (804) 288-4084 | |
| (804) 559-2046 |
| Full Name | Demetria Y Gordon |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 7515 Right Flank Road, Mechanicsville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023177326 | NPI | - | NPPES |
| 1023177326 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2007-00174 (North Carolina) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 0101240229 (Virginia) | Primary |
| Entity Name | Bayview Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813387 PECOS PAC ID: 5597664201 Enrollment ID: O20031231000719 |
| Entity Name | Virginia Womens Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740594332 PECOS PAC ID: 2163604588 Enrollment ID: O20110307000629 |
| Entity Name | Obhg Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972807394 PECOS PAC ID: 9436323342 Enrollment ID: O20111110000430 |
| 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 |
|---|---|
| Demetria Y Gordon, MD 7130 Glen Forest Dr, Suite 101, Richmond, VA 23226-3754 Ph: (804) 282-1095 | Demetria Y Gordon, MD 7515 Right Flank Road, Mechanicsville, VA 23116-3818 Ph: (804) 288-4084 |
Leslie A Torbert, NP Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8239 Meadowbridge Rd Ste A, Mechanicsville, VA 23116 Phone: 804-730-0800 Fax: 804-730-0800 | |
Dr. Rodrick N. Love, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7515 Right Flank Road, Mechanicsville, VA 23116 Phone: 804-288-4084 Fax: 804-559-2046 | |
Monica M. Powers, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8364 Bell Creek Road, Mechanicsville, VA 23116 Phone: 804-288-4084 Fax: 804-559-2046 | |
Dr. Stacey Sharp, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8239 Meadowbridge Road, Suite A, Mechanicsville, VA 23116 Phone: 804-730-0800 Fax: 804-730-0839 | |
Keith P Berkle, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8364 Bell Creek Road, Mechanicsville, VA 23116 Phone: 804-288-4084 Fax: 804-559-2046 | |
Tovia Martirosian Smith, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7515 Right Flank Rd, Mechanicsville, VA 23116 Phone: 804-288-4084 Fax: 804-559-2046 |