| Mark A Gentz, DO | |
|
13700 St Francis Blvd, Suite 505, Midlothian, VA 23114-3222 | |
| (804) 601-0609 | |
| (804) 594-7424 |
| Full Name | Mark A Gentz |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 24 Years |
| Location | 13700 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 |
|---|---|---|---|
| 1033153465 | NPI | - | NPPES |
| 0102201823 | Medicaid | VA | |
| C11046 | Other | VA | GROUP MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 0102201823 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| All About Care | Richmond, VA | Home health agency |
| Commonwealth Home Care | Alexandria, VA | Home health agency |
| Amedisys Home Health | Midlothian, VA | Home health agency |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Richmond Primary Care Llc | 3476986613 | 91 |
| Entity Name | Bon Secours Memorial Regional Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881795557 PECOS PAC ID: 6507775293 Enrollment ID: O20040726000687 |
| Entity Name | Commonwealth Infectious Diseases, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972833788 PECOS PAC ID: 7113055054 Enrollment ID: O20100513000375 |
| Entity Name | Bon Secours Medical Group Richmond Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861050635 PECOS PAC ID: 3476986613 Enrollment ID: O20191203000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Gentz, DO Po Box 73262, North Chesterfield, VA 23235-8029 Ph: (804) 601-0609 | Mark A Gentz, DO 13700 St Francis Blvd, Suite 505, Midlothian, VA 23114-3222 Ph: (804) 601-0609 |
Dr. Jennifer Simpliciano, Infectious Disease Medicare: Medicare Enrolled Practice Location: 611 Watkins Centre Pkwy Ste 250, Midlothian, VA 23114 Phone: 804-423-8470 Fax: 804-423-8471 | |
Dr. Vicki B Latham-solomon, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 13901 Coalfield Commons Pl Ste 201, Midlothian, VA 23114 Phone: 804-420-1200 Fax: 804-344-0980 | |
Shashi Kumar Prabhakar, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 600, Midlothian, VA 23114 Phone: 804-794-6400 Fax: 804-897-0910 | |
Francesca Levine Glynn, MD Infectious Disease Medicare: May Accept Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 510, Midlothian, VA 23114 Phone: 804-423-8470 Fax: 804-423-8471 | |
Morgan L. Vargo, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 2384 Colony Crossing Pl, Midlothian, VA 23112 Phone: 804-423-3636 | |
Omar F Shams, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 600, Midlothian, VA 23114 Phone: 804-794-6400 Fax: 804-897-0910 |