| Dr Terrance J Truitt, MD, FCCP | |
|
2210 Wilborn Ave, South Boston, VA 24592-1630 | |
| (434) 575-5864 | |
| (434) 575-8929 |
| Full Name | Dr Terrance J Truitt |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 30 Years |
| Location | 2210 Wilborn Ave, South Boston, 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 |
|---|---|---|---|
| 1922077254 | NPI | - | NPPES |
| 7905379 | Medicaid | NC | |
| 05379 | Other | NC | BC/BS NC PROVIDER # |
| 2317122 | Other | NC | MEDICARE GROUP # |
| 075593 | Other | VA | ANTHEM BC PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 0101052367 (Virginia) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 0101052367 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Halifax Regional Hospital | South boston, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pulmonary Associates Of Southside Virginia, Inc | 8628008331 | 15 |
| Entity Name | Pulmonary Associates Of Southside Virginia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265436117 PECOS PAC ID: 8628008331 Enrollment ID: O20050812000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Terrance J Truitt, MD, FCCP 2210 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 575-5864 | Dr Terrance J Truitt, MD, FCCP 2210 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 575-5864 |
Dr. Amar A Parikh, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2045 Hamilton Boulevard, South Boston, VA 24592 Phone: 434-572-6565 Fax: 434-572-4322 | |
Dr. Fuad Shatila, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2232 Willborn Ave, South Boston, VA 24592 Phone: 434-517-3705 | |
Roger W Browne, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-6946 Fax: 434-572-6675 | |
Dr. Chad Michael Henry, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2210 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3827 | |
Richard W Davis, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1627 Seymour Dr, South Boston, VA 24592 Phone: 434-517-0611 Fax: 434-572-6675 | |
Dr. Sherry Lene Hall, M.D Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2202-a Beechmont Road, South Boston, VA 24592 Phone: 434-575-6300 Fax: 434-575-8300 | |
Suresh Gehan Jayatilaka, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1129 N Main St Ste G, South Boston, VA 24592 Phone: 434-572-8196 Fax: 434-572-8341 |