| Ellen Marye Palen, MD | |
|
2367 Colony Crossing Place, Midlothian, VA 23112 | |
| (804) 323-1264 | |
| (804) 323-1276 |
| Full Name | Ellen Marye Palen |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2367 Colony Crossing Place, 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 |
|---|---|---|---|
| 1245239938 | NPI | - | NPPES |
| 236600 | Other | VA | ANTHEM BCBS |
| 10331382 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101102583 (Virginia) | Primary |
| Entity Name | Commonwealth Primary Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750571287 PECOS PAC ID: 2264420918 Enrollment ID: O20040503001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Marye Palen, MD 2367 Colony Crossing Place, Midlothian, VA 23112 Ph: (804) 323-1264 | Ellen Marye Palen, MD 2367 Colony Crossing Place, Midlothian, VA 23112 Ph: (804) 323-1264 |
Thirosha Thirunavukarasu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15769 Wc Main St, Midlothian, VA 23113 Phone: 804-794-5598 | |
Dr. Gretchen D Lockard, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 13911 St Francis Blvd Ste 101, Midlothian, VA 23114 Phone: 804-320-3999 Fax: 804-423-9929 | |
Dr. Olufunlayo Baldauf-dean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13710 St Francis Blvd Ste 510, Midlothian, VA 23114 Phone: 804-423-5050 Fax: 804-423-5050 | |
Mrs. Bailey Marie Gonzalez, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6813 Velvet Antler Ct, Midlothian, VA 23112 Phone: 804-229-4476 | |
John G. Barnes, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 15769 Wc Main St, Midlothian, VA 23113 Phone: 804-419-9702 Fax: 804-378-9143 | |
Saba Naz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13540 Hull Street Rd, St. Francis Family Medicine, Midlothian, VA 23112 Phone: 804-739-6142 Fax: 804-739-8923 | |
Dr. Stephanie A. Crawford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13540 Hull Street Rd, Midlothian, VA 23112 Phone: 804-739-6142 |