| Dr Agostino J Visioni, MD | |
|
2002 Medical Parkway, Suite 430, Annapolis, MD 21401-3263 | |
| (410) 266-2720 | |
| (410) 224-0209 |
| Full Name | Dr Agostino J Visioni |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 22 Years |
| Location | 2002 Medical Parkway, Annapolis, Maryland |
| 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 |
|---|---|---|---|
| 1013031004 | NPI | - | NPPES |
| 96458602 | Other | MD | BCBS |
| J4570009 | Other | DC | BCBS |
| W8490001 | Other | DC | BCBS |
| 060-0003085 | Other | VT | VT PHYSICIAN'S LICENSE # |
| 96458601 | Other | MD | BCBS |
| 96458604 | Other | MD | BCBS |
| D3800007 | Other | DC | BCBS |
| 96458603 | Other | MD | BCBS |
| 311202100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | D70582 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Washington Hospital | Fredericksburg, VA | Hospital |
| Stafford Hospital, Llc | Stafford, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mary Washington Healthcare Providers Llc | 1456629369 | 153 |
| Mary Washington Healthcare Physicians | 2769546530 | 309 |
| Entity Name | Mary Washington Healthcare Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298 |
| Entity Name | Mary Washington Healthcare Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750826277 PECOS PAC ID: 1456629369 Enrollment ID: O20170619001149 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Agostino J Visioni, MD 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046 Ph: () - | Dr Agostino J Visioni, MD 2002 Medical Parkway, Suite 430, Annapolis, MD 21401-3263 Ph: (410) 266-2720 |
Dr. Brian J Sullivan, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Bestgate Rd Ste 400, Annapolis, MD 21401 Phone: 410-266-2720 Fax: 410-244-0209 |