| Jason Fowlkes, MD | |
|
809 Davis St, Ste 1, Blacksburg, VA 24060-7013 | |
| (540) 961-1590 | |
| Not Available |
| Full Name | Jason Fowlkes |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 22 Years |
| Location | 809 Davis St, Blacksburg, 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 |
|---|---|---|---|
| 1356534952 | NPI | - | NPPES |
| 1356534952 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0116016565 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lewisgale Hospital Montgomery | Blacksburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis Gale Physicians Llc | 6507886231 | 191 |
| Entity Name | Montgomery Surgery Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366486664 PECOS PAC ID: 6204871312 Enrollment ID: O20050620000981 |
| Entity Name | Lewis Gale Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Fowlkes, MD 1055 Green Ridge Rd, Christiansburg, VA 24073 Ph: (540) 798-8887 | Jason Fowlkes, MD 809 Davis St, Ste 1, Blacksburg, VA 24060-7013 Ph: (540) 961-1590 |
Jeffery S Flagg, DDS, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 817 Davis St Ste 2, Blacksburg, VA 24060 Phone: 540-951-8885 | |
Dr. Jolene Bryner Henshaw, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 830 Hospital Dr, Blacksburg, VA 24060 Phone: 540-951-0780 Fax: 540-951-0782 | |
Dr. Frank C. Purpera Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1901 S Main St, Blacksburg, VA 24060 Phone: 540-552-8346 | |
David Macmillan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1901 S Main St, Suite 2, Blacksburg, VA 24060 Phone: 540-552-8346 | |
Dr. David Bruce Stoeckle, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 817 Davis St Ste 1, Blacksburg, VA 24060 Phone: 540-552-3670 Fax: 540-951-2215 |