| Dr Mark D Tripp, MD | |
|
1000 N Shenandoah Ave, Front Royal, VA 22630-3547 | |
| (540) 636-0327 | |
| (540) 636-0198 |
| Full Name | Dr Mark D Tripp |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1000 N Shenandoah Ave, Front Royal, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619910668 | NPI | - | NPPES |
| 010261881 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101053878 (Virginia) | Primary |
| Entity Name | Winchester Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679711261 PECOS PAC ID: 0244134021 Enrollment ID: O20031124000061 |
| Entity Name | Warren Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164442281 PECOS PAC ID: 2365330347 Enrollment ID: O20040310000516 |
| Entity Name | Winchester Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487907341 PECOS PAC ID: 7214181585 Enrollment ID: O20130214000243 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark D Tripp, MD 220 Campus Blvd Ste 100, Winchester, VA 22601-2888 Ph: (540) 536-5100 | Dr Mark D Tripp, MD 1000 N Shenandoah Ave, Front Royal, VA 22630-3547 Ph: (540) 636-0327 |
James William Freilich, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0327 Fax: 540-636-0198 | |
Richard T Nanna, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0300 Fax: 540-636-0198 | |
Michael Blaine Voorhees, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0327 Fax: 540-636-0198 | |
Mark R Pierce, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0300 Fax: 540-636-0198 | |
Jackie S O'donnell, CFNP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0291 | |
Todd P Bennett, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0327 Fax: 540-636-0189 | |
Hashim Stanazai, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0300 Fax: 540-636-0427 |