| Justin Blake Gambrell, DO | |
|
500 Sentara Cir Ste 202, Williamsburg, VA 23188-5727 | |
| (757) 984-9850 | |
| (757) 345-6643 |
| Full Name | Justin Blake Gambrell |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 500 Sentara Cir Ste 202, Williamsburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801211297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0102204207 (Virginia) | Primary |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Blake Gambrell, DO 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-2518 | Justin Blake Gambrell, DO 500 Sentara Cir Ste 202, Williamsburg, VA 23188-5727 Ph: (757) 984-9850 |
James Ray Daniels Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Sentara Cir Ste 202, Williamsburg, VA 23188 Phone: 757-984-9850 | |
Michael Edward Landis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Sentara Cir Ste 350, Williamsburg, VA 23188 Phone: 757-736-7250 Fax: 757-510-9122 | |
Dr. Russell Witter Campbell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 156 Strawberry Plains Rd, Suite A, Williamsburg, VA 23188 Phone: 757-229-7939 Fax: 757-229-7897 | |
Dr. Hall Renfro Howard, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 120 Kings Way, Williamsburg, VA 23185 Phone: 757-345-0141 Fax: 757-253-1527 | |
Dr. Harry Lee Kraus Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 120 Kings Way, Suite 2600, Williamsburg, VA 23185 Phone: 757-345-0141 Fax: 757-253-1527 | |
Ryan Andrew Carver, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Sentara Cir Ste 202, Williamsburg, VA 23188 Phone: 757-984-9850 Fax: 757-345-6643 | |
Dr. Laura Marie Fluke, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Sentara Cir Ste 202, Williamsburg, VA 23188 Phone: 757-984-9850 |