| Hector Marquez, MD | |
|
2204 Wilborn Ave, South Boston, VA 24592-1645 | |
| (434) 517-3139 | |
| (434) 572-6716 |
| Full Name | Hector Marquez |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 2204 Wilborn Ave, South Boston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306899406 | NPI | - | NPPES |
| 890515Z | Other | NC | MEDICAID OF NORTH CAROLIN |
| 5701180 | Medicaid | VA | |
| 077059 | Other | VA | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 0101050274 (Virginia) | Primary |
| Entity Name | Dominion Health Medical Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840 |
| Entity Name | Smg Anesthesia Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494 |
| Entity Name | Premier Anesthesia Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255986147 PECOS PAC ID: 1951722362 Enrollment ID: O20200610001253 |
| Mailing Address | Practice Location Address |
|---|---|
| Hector Marquez, MD Po Box 444, South Boston, VA 24592-0444 Ph: (434) 572-3323 | Hector Marquez, MD 2204 Wilborn Ave, South Boston, VA 24592-1645 Ph: (434) 517-3139 |
Gregory Alan Shuford, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100 Fax: 434-517-3100 | |
Dr. Ming Y. Liu, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100 Fax: 434-517-3602 | |
Cesar A Souza, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3139 Fax: 434-572-6716 |