| Dr Quan Phan, MD | |
|
800 Oak St, Farmville, VA 23901-1199 | |
| (434) 392-8811 | |
| (434) 315-2531 |
| Full Name | Dr Quan Phan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 800 Oak St, Farmville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861070591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101282559 (Virginia) | Primary |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Quan Phan, MD 715 Walker Sq Apt 1b, Charlottesville, VA 22903-3479 Ph: () - | Dr Quan Phan, MD 800 Oak St, Farmville, VA 23901-1199 Ph: (434) 392-8811 |
Warren Mccarter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-392-8811 Fax: 800-536-8431 | |
Christopher Sendi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-392-8811 | |
Pravinbhai G Patel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-392-8811 | |
Branden C Hunsaker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-392-8811 | |
Dr. Kevin George Sullivan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Oak St, Emergency Dept, Farmville, VA 23901 Phone: 434-392-8811 |