| Dr Bernard Kenechukwu Ezigbo, MD | |
|
1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | |
| (434) 200-3000 | |
| Not Available |
| Full Name | Dr Bernard Kenechukwu Ezigbo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 1901 Tate Springs Rd, Lynchburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619160512 | NPI | - | NPPES |
| 304879501 | Medicaid | TX | |
| 752616977042 | Other | TX | TRICARE |
| 8BC408 | Other | TX | BCBS |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Gulf Coast Intensivists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104509199 PECOS PAC ID: 2264896364 Enrollment ID: O20230907002726 |
| Entity Name | Southeast Texas Intensivists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801579867 PECOS PAC ID: 7810342672 Enrollment ID: O20231013001474 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bernard Kenechukwu Ezigbo, MD Po Box 846098, Dallas, TX 75284-5500 Ph: (903) 324-6450 | Dr Bernard Kenechukwu Ezigbo, MD 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 Ph: (434) 200-3000 |
Varsha Reddy Pothula Venkata, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Clifton St, Lynchburg, VA 24501 Phone: 434-455-7100 Fax: 434-947-5909 | |
Dr. James D Cure, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Thomson Dr, Lynchburg, VA 24501 Phone: 434-947-3908 Fax: 434-947-5948 | |
Sally- Ann Tracy Mcintosh, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 2215 Landover Pl, Lynchburg, VA 24501 Phone: 434-947-3944 Fax: 866-617-8273 | |
Dr. John Newton Clore, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Nationwide Dr, Internal Medicine, Lynchburg, VA 24502 Phone: 434-200-3908 | |
Dr. Evan D. Ownby, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2410 Atherholt Rd, Lynchburg, VA 24501 Phone: 434-200-2712 Fax: 434-200-2851 | |
Sandra Omozehio Iwuala, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-3000 | |
Joseph B Khoury, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2011 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-947-3963 Fax: 434-947-5935 |