| Dr Ian Thomas Greenwalt, MD | |
|
15195 Heathcote Blvd Ste 240, Haymarket, VA 20169-6245 | |
| (571) 284-3460 | |
| Not Available |
| Full Name | Dr Ian Thomas Greenwalt |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 15195 Heathcote Blvd Ste 240, Haymarket, 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 |
|---|---|---|---|
| 1720405665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | MD047318 (District Of Columbia) | Secondary |
| 208600000X | Surgery | 0101283801 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Uva Health Haymarket Medical Center | Haymarket, VA | Hospital |
| Medstar Georgetown University Hospital | Washington, DC | Hospital |
| Novant Prince William Medical Center | Manassas, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Uva Community Health Medical Group Llc | 4688587967 | 293 |
| Entity Name | Uva Community Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598475741 PECOS PAC ID: 4688587967 Enrollment ID: O20110311000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian Thomas Greenwalt, MD Po Box 748613, Atlanta, GA 30384-8613 Ph: (434) 295-1000 | Dr Ian Thomas Greenwalt, MD 15195 Heathcote Blvd Ste 240, Haymarket, VA 20169-6245 Ph: (571) 284-3460 |
Alison Rebecca Goldenberg, MD. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169 Phone: 571-284-3380 Fax: 571-284-3389 | |
Aaron Norman Sachs, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169 Phone: 571-284-3440 Fax: 571-284-3459 | |
Nicholas Dugan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169 Phone: 571-284-3110 Fax: 571-284-3119 | |
Dr. Elizabeth Alexandra Zubowicz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15195 Heathcote Blvd Ste 350, Haymarket, VA 20169 Phone: 571-284-3380 Fax: 571-284-3389 |