| Dr Kassandra Jane Phillips, DO | |
|
2937 Fox Chase Ln, Midlothian, VA 23112-4400 | |
| (804) 372-3473 | |
| Not Available |
| Full Name | Dr Kassandra Jane Phillips |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2937 Fox Chase Ln, Midlothian, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861698342 | NPI | - | NPPES |
| 3810015268 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080I0007X | Pediatrics - Clinical & Laboratory Immunology | 2271 (West Virginia) | Secondary |
| 208000000X | Pediatrics | 0102206067 (Virginia) | Primary |
| Entity Name | Southern Dominion Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295706588 PECOS PAC ID: 0648188755 Enrollment ID: O20040611000631 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kassandra Jane Phillips, DO 2937 Fox Chase Ln, Midlothian, VA 23112-4400 Ph: (804) 372-3473 | Dr Kassandra Jane Phillips, DO 2937 Fox Chase Ln, Midlothian, VA 23112-4400 Ph: (804) 372-3473 |
Dr. Joel C Everett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13821 Village Mill Dr, Midlothian, VA 23114 Phone: 804-794-2821 Fax: 804-794-4072 | |
Arpita Gupta Depalma, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11601 Robious Rd, Suite 100, Midlothian, VA 23113 Phone: 804-379-9494 | |
Dr. Gordon Neil Kellett Ii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13821 Village Mill Dr, Midlothian, VA 23114 Phone: 804-794-2821 Fax: 804-794-4072 | |
Dr. Mark A Flanzenbaum, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5021 Craig Rath Blvd Bldg 4, Midlothian, VA 23112 Phone: 804-592-5437 Fax: 804-474-9071 | |
Dr. Elizabeth Marie Cullen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1407 Huguenot Rd, Midlothian, VA 23113 Phone: 804-794-2299 Fax: 804-794-5774 | |
Isca Rochelle Wilms, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13925 Coalfield Commons Pl Ste 201, Midlothian, VA 23114 Phone: 804-378-4420 Fax: 804-378-4440 | |
Dr. Martha Rey Saunders, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1407 Huguenot Rd, Midlothian, VA 23113 Phone: 804-794-2299 Fax: 804-794-5774 |