| Ian Blubaugh, MD | |
|
9a W Grace St, Richmond, VA 23220-5013 | |
| (804) 376-9114 | |
| (804) 207-8715 |
| Full Name | Ian Blubaugh |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 9a W Grace St, Richmond, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952751661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101262937 (Virginia) | Primary |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Blubaugh, MD 9a W Grace St, Richmond, VA 23220-5013 Ph: (804) 376-9114 | Ian Blubaugh, MD 9a W Grace St, Richmond, VA 23220-5013 Ph: (804) 376-9114 |
Dr. Mary Mcfaden Caldwell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15000 Capital One Dr, 12078 Health Center, Richmond, VA 23238 Phone: 804-855-6000 | |
Dr. Jon Randall Frederick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8639 Mayland Dr Ste 102, Richmond, VA 23294 Phone: 804-993-3039 Fax: 804-447-1953 | |
Dr. Zaroh L Neth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Shockoe Slip, Ste 200, Richmond, VA 23219 Phone: 888-364-2334 Fax: 650-618-1445 | |
Mrs. Harriet Schanzer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6439 Iron Bridge Rd, Richmond, VA 23234 Phone: 804-271-8990 Fax: 804-271-9020 | |
William Edward Noller, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4620 S Laburnum Ave, Richmond, VA 23231 Phone: 804-652-2200 Fax: 804-222-0458 | |
Angela D Middleton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Glenside Dr, Suite 110, Richmond, VA 23226 Phone: 804-288-1800 Fax: 804-288-0515 | |
Dr. Reuben Hancock Broaddus Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 511 Glendale Dr, Richmond, VA 23229 Phone: 804-740-1604 |