| Duc K Trieu, MD | |
|
2212 Wilborn Ave, South Boston, VA 24592-1630 | |
| (434) 572-8921 | |
| (434) 572-2063 |
| Full Name | Duc K Trieu |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 23 Years |
| Location | 2212 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 |
|---|---|---|---|
| 1659317576 | NPI | - | NPPES |
| PENDING | Other | PENDING | |
| PEINDING | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 0101239403 (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 |
|---|---|---|
| Fuller Roberts Ob-gyn And Primary Care | 1153624788 | 2 |
| Entity Name | Southside Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700890761 PECOS PAC ID: 4284660507 Enrollment ID: O20050708000612 |
| Entity Name | Fuller Roberts Ob-gyn And Primary Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366814113 PECOS PAC ID: 1153624788 Enrollment ID: O20160114001917 |
| Mailing Address | Practice Location Address |
|---|---|
| Duc K Trieu, MD 2212 Wilborn Ave, Po Box 10, South Boston, VA 24592-1630 Ph: (434) 572-8921 | Duc K Trieu, MD 2212 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 572-8921 |
Joan Wilson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063 | |
Joni Abbott, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2206 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8627 Fax: 434-517-8080 | |
Carlos Alberto Pottinger, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2206 Wilborn Ave Bldg 1, South Boston, VA 24592 Phone: 434-517-8627 Fax: 434-517-8080 |