| Dr Barryton Decruse Waanbah, MD | |
|
1906 Belleview Ave Se, Roanoke, VA 24014-1838 | |
| (540) 981-7000 | |
| (540) 853-0931 |
| Full Name | Dr Barryton Decruse Waanbah |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 18 Years |
| Location | 1906 Belleview Ave Se, Roanoke, 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 |
|---|---|---|---|
| 1962790808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2019-02459 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 0101257658 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carilion Medical Center | Roanoke, VA | Hospital |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Carilion Giles Community Hospital | Pearisburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2401 |
| Carilion Medical Center | 9830096585 | 969 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100512000495 |
| Entity Name | Southeastern Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184669053 PECOS PAC ID: 8921030719 Enrollment ID: O20241021000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Barryton Decruse Waanbah, MD 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () - | Dr Barryton Decruse Waanbah, MD 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7000 |
Dr. Jed David Gonzalo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 | |
Dr. Daniel Frank Pauly, , M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014 Phone: 540-982-8204 | |
Mr. Robert Braden Dunmire Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2030 Stephenson Ave Sw, Roanoke, VA 24014 Phone: 540-904-6170 | |
Vishal B. Gohil, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 | |
Joshua Gabriel Gazo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 | |
Joseph L. Austin, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 127 Mcclanahan St Sw, Suite 300, Roanoke, VA 24014 Phone: 540-982-8204 Fax: 540-224-1059 | |
Ali M Yahya, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2213 Stanley Ave Se, Roanoke, VA 24014 Phone: 571-338-9463 |