| Jordan C Hibbard, | |
|
1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | |
| (240) 612-1384 | |
| Not Available |
| Full Name | Jordan C Hibbard |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1060 W Perimeter Rd, Jb Andrews, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740774744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101274882 (Virginia) | Primary |
| Entity Name | Virginia Hospital Center Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144415480 PECOS PAC ID: 8426231119 Enrollment ID: O20110317000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan C Hibbard, 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: () - | Jordan C Hibbard, 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 612-1384 |
Samuel L Weiss, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 250-612-1284 | |
Dr. Wilfredo Javier Nieves, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1050 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-257-8666 | |
Kallyn Dorothy Harencak, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 024-045-8652 | |
Michael A. Riel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-1560 | |
Dr. Charles W Borders Iii, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-1610 | |
Dr. Sylvester Luu, D.O., FACP Internal Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-1560 Fax: 386-205-6892 | |
Sonia Iqbal, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-1155 |