| Dr Andrew Evan Muck, MD | |
|
1215 Lee St, Charlottesville, VA 22908-9908 | |
| (434) 924-2231 | |
| (434) 924-9295 |
| Full Name | Dr Andrew Evan Muck |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1215 Lee St, Charlottesville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952323719 | NPI | - | NPPES |
| 191137201 | Medicaid | TX | |
| 8AP2200 | Other | TX | BCBS OF TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M7454 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | 01061493A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 0101279726 (Virginia) | Primary |
| Entity Name | The University Of Texas Health Science Center At San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Entity Name | Victoria Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407917164 PECOS PAC ID: 7911005087 Enrollment ID: O20070613000507 |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Entity Name | Cec San Antonio Er Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124364302 PECOS PAC ID: 3173954955 Enrollment ID: O20200511003066 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Evan Muck, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: () - | Dr Andrew Evan Muck, MD 1215 Lee St, Charlottesville, VA 22908-9908 Ph: (434) 924-2231 |
Margaret K. Sande, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295 | |
Aaron Frey, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295 | |
Sara M Vecchione, FNP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295 | |
Dr. Ursula Gailliot Koeze, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 459 Locust Ave, Mb 26, Charlottesville, VA 22902 Phone: 434-982-7150 Fax: 434-982-7147 | |
David R. Burt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295 | |
Mairin Smith, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7154 | |
Avery Michienzi, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295 |