| James Roane Dudley, MD, MBA | |
|
618 Hospital Rd, Tappahannock, VA 22560-5000 | |
| (804) 443-8649 | |
| (804) 443-6150 |
| Full Name | James Roane Dudley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 618 Hospital Rd, Tappahannock, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932126489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101-039671 (Virginia) | Primary |
| 207Q00000X | Family Medicine | 0101039671 (Virginia) | Secondary |
| Entity Name | Mcv Associated Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Mailing Address | Practice Location Address |
|---|---|
| James Roane Dudley, MD, MBA 856 J Clyde Morris Blvd Ste A, Riverside Medical Group, Newport News, VA 23601-1318 Ph: (757) 316-5800 | James Roane Dudley, MD, MBA 618 Hospital Rd, Tappahannock, VA 22560-5000 Ph: (804) 443-8649 |
Dr. John Timothy Carmack, MD, MPH Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 804-443-6297 | |
Randy Joe Ferrance, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 804-443-3311 Fax: 804-443-6150 | |
Alex Robinson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 804-443-6297 Fax: 804-443-6161 | |
Thomas Leo Cleary Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 804-443-6297 Fax: 804-443-6150 | |
Mr. Hunter E Shirey, P.A. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Mt Clement Park Ste B, Tappahannock, VA 22560 Phone: 804-443-8670 Fax: 804-443-8675 | |
Thomas Henderson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 908-963-1655 | |
Mary Cristen Hendricks, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 804-443-3311 |