| Mark R Bladergroen, MD | |
|
5875 Bremo Rd, Suite G-5, Richmond, VA 23226-1934 | |
| (804) 287-7840 | |
| (804) 287-7845 |
| Full Name | Mark R Bladergroen |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 46 Years |
| Location | 5875 Bremo Rd, Richmond, 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 |
|---|---|---|---|
| 1124058342 | NPI | - | NPPES |
| C06778 | Other | VA | GROUP PTAN |
| 7300221 | Medicaid | VA | |
| 0101042193 | Other | VA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 0101042193 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Southside Regional Medical Center | Petersburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Richmond Specialty Care Llc | 8022440056 | 298 |
| Entity Name | Bon Secours St Marys Hospital Of Richmond Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962464016 PECOS PAC ID: 8527969476 Enrollment ID: O20040324000566 |
| Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Bladergroen, MD 5875 Bremo Rd, Suite G-5, Richmond, VA 23226-1934 Ph: (804) 287-7840 | Mark R Bladergroen, MD 5875 Bremo Rd, Suite G-5, Richmond, VA 23226-1934 Ph: (804) 287-7840 |
William Zachary Chancellor, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 7101 Jahnke Rd Ste 500, Richmond, VA 23225 Phone: 804-320-2751 Fax: 804-330-3831 | |
Dr. Steven M Fiser, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5875 Bremo Rd, Suite G5, Richmond, VA 23226 Phone: 804-287-7840 Fax: 804-287-7845 | |
Thomas D Christopher, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 7101 Jahnke Rd, Suite 500, Richmond, VA 23225 Phone: 804-320-2751 Fax: 804-673-9218 | |
Daniel P Mulloy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 7101 Jahnke Rd Ste 500, Richmond, VA 23225 Phone: 804-320-2751 Fax: 804-330-3831 | |
Dr. Patricia A Nicolato, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Surgery/cardiac And Thoracic, Richmond, VA 23298 Phone: 804-828-2773 Fax: 804-628-0537 | |
Napat Pruekprasert, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 417 N 11th St, Richmond, VA 23298 Phone: 804-828-4620 |