| James V Pellicane Jr, MD, FACS | |
|
14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 | |
| (804) 594-3130 | |
| (804) 594-3030 |
| Full Name | James V Pellicane Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 38 Years |
| Location | 14051 St Francis Blvd, Midlothian, 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 |
|---|---|---|---|
| 1093704454 | NPI | - | NPPES |
| C09633 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101045452 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Bon Secours Richmond Community Hospital | Richmond, VA | Hospital |
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
| Rappahannock General Hospital | Kilmarnock, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Richmond Specialty Care Llc | 8022440056 | 298 |
| Entity Name | Bon Secours St Marys Hospital Of Richmond Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962464016 PECOS PAC ID: 8527969476 Enrollment ID: O20040324000566 |
| Entity Name | Bon Secours St Francis Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356350391 PECOS PAC ID: 0648215418 Enrollment ID: O20050920000437 |
| Entity Name | Bon Secours Ambulatory Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346662343 PECOS PAC ID: 6002047313 Enrollment ID: O20140331001738 |
| Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
| Mailing Address | Practice Location Address |
|---|---|
| James V Pellicane Jr, MD, FACS 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 Ph: (804) 594-3130 | James V Pellicane Jr, MD, FACS 14051 St Francis Blvd, Suite 2210, Midlothian, VA 23114-3201 Ph: (804) 594-3130 |
Sandra Paige Eggleston, Surgery Medicare: Not Enrolled in Medicare Practice Location: 621 Fern Meadow Loop Apt 202, Midlothian, VA 23114 Phone: 804-385-0700 | |
Mindi Ilene Meyers, LSA, CSFA, CST Surgery Medicare: Not Enrolled in Medicare Practice Location: 13700 St Francis Blvd, Midlothian, VA 23114 Phone: 804-594-3050 Fax: 804-594-3058 | |
Robert Oswell, SA Surgery Medicare: Not Enrolled in Medicare Practice Location: 13710 St Francis Blvd, Midlothian, VA 23114 Phone: 804-594-7300 | |
Misti H Wilson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114 Phone: 804-594-3130 Fax: 804-423-6517 | |
Connie Lynn Speicher, LSA Surgery Medicare: Not Enrolled in Medicare Practice Location: 13710 St Francis Blvd, Midlothian, VA 23114 Phone: 804-594-3050 | |
Polly Laura Stephens, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Watkins Centre Parkway, Suite 200, Midlothian, VA 23114 Phone: 804-594-3130 Fax: 804-423-6517 |