| Dr M Stephen Mandell Jr, MD | |
|
121 Courthouse Ln, Bowling Green, VA 22427-9336 | |
| (804) 633-5840 | |
| (804) 633-4438 |
| Full Name | Dr M Stephen Mandell Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 121 Courthouse Ln, Bowling Green, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548252273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101034535 (Virginia) | Primary |
| Entity Name | Mary Washington Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013089879 PECOS PAC ID: 0446143820 Enrollment ID: O20040209000155 |
| Entity Name | Mary Washington Healthcare Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr M Stephen Mandell Jr, MD Po Box 450, Bowling Green, VA 22427-0450 Ph: (804) 633-5840 | Dr M Stephen Mandell Jr, MD 121 Courthouse Ln, Bowling Green, VA 22427-9336 Ph: (804) 633-5840 |
Paul T Harvey, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Caroline Detention Facility, 11093 Sw Lewis Memorial Drive, Bowling Green, VA 22427 Phone: 804-633-0043 Fax: 866-475-9337 | |
Dr. Daniel William Woodford, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Courthouse Ln, Bowling Green, VA 22427 Phone: 804-633-5840 Fax: 804-633-4438 |