| Dr Binyam Dessie, MD | |
|
1225 Tanglewood Dr, South Hill, VA 23970-1009 | |
| (571) 357-8204 | |
| Not Available |
| Full Name | Dr Binyam Dessie |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 1225 Tanglewood Dr, South Hill, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750775151 | NPI | - | NPPES |
| 0101264005 | Other | VA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101264005 (Virginia) | Secondary |
| 208D00000X | General Practice | 0101264005 (Virginia) | Primary |
| Entity Name | Mcv Associated Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
| Entity Name | Cmh Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
| Entity Name | Danville Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629022868 PECOS PAC ID: 4688606304 Enrollment ID: O20051007000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Binyam Dessie, MD 1225 Tanglewood Dr, South Hill, VA 23970-1009 Ph: (571) 357-8204 | Dr Binyam Dessie, MD 1225 Tanglewood Dr, South Hill, VA 23970-1009 Ph: (571) 357-8204 |
Dr. Keith Hummel, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 125 Buena Vista Cir, South Hill, VA 23970 Phone: 434-447-3151 |