| Dmitri Andreyevich Gagarin, MD | |
|
16000 Johnston Memorial Dr Fl 4, Abingdon, VA 24211-7664 | |
| (276) 258-1000 | |
| Not Available |
| Full Name | Dmitri Andreyevich Gagarin |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 16000 Johnston Memorial Dr Fl 4, Abingdon, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114109089 | NPI | - | NPPES |
| 3139008 | Medicaid | OH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Morgan County Arh Hospital | West liberty, KY | Hospital |
| Lewis County General Hospital | Lowville, NY | Hospital |
| Caldwell Medical Center | Princeton, KY | Hospital |
| Smyth County Community Hospital | Marion, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rh Emergency Medicine Of Caldwell Medical Llc | 2163866781 | 8 |
| Green Valley Emergency Physicians, Llc | 4385035534 | 36 |
| Oxbow Physician Services Llc | 1850883513 | 36 |
| Wellmont Medical Associates Inc | 8123291739 | 432 |
| Concord Company Of Tennessee Pllc | 0345588109 | 68 |
| Delphi Healthcare Pllc | 9537229661 | 68 |
| Entity Name | Concord Medical Group of Kentucky PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20180503002233 |
| Entity Name | Concord Company of Tennessee PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20190221000097 |
| Entity Name | Green Valley Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720755739 PECOS PAC ID: 4385035534 Enrollment ID: O20230926000510 |
| Entity Name | RH Emergency Medicine of Caldwell Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881376747 PECOS PAC ID: 2163866781 Enrollment ID: O20240221004052 |
| Mailing Address | Practice Location Address |
|---|---|
| Dmitri Andreyevich Gagarin, MD 7734 Asterella Ct, Springfield, VA 22152-3141 Ph: (202) 415-9039 | Dmitri Andreyevich Gagarin, MD 16000 Johnston Memorial Dr Fl 4, Abingdon, VA 24211-7664 Ph: (276) 258-1000 |
Randall B Wasson, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Abingdon, VA 24211 Phone: 276-258-4435 |