| Mr Gavin Blair Gore, | |
|
19500 Sandridge Way, Suite 420, Leesburg, VA 20176-3467 | |
| (571) 375-8601 | |
| (571) 223-6773 |
| Full Name | Mr Gavin Blair Gore |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 16 Years |
| Location | 19500 Sandridge Way, Suite 420, Leesburg, 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 |
|---|---|---|---|
| 1316189608 | NPI | - | NPPES |
| 1316189608 | Medicaid | VA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reston Hospital Center | Reston, VA | Hospital |
| Lewisgale Medical Center | Salem, VA | Hospital |
| Lewisgale Hospital Montgomery | Blacksburg, VA | Hospital |
| Stonesprings Hospital Center | Dulles, VA | Hospital |
| Lewisgale Hospital Pulaski | Pulaski, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reston Radiology Consultants, Pc | 1557436730 | 27 |
| Reston Radiology Consultants, Pc | 1557436730 | 27 |
| Mri Of Reston Limited Partnership | 3476544701 | 13 |
| Pet Of Reston, Lp | 7214975978 | 6 |
| Entity Name | Loudoun Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
| Entity Name | Radiology Associates Of Roanoke, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962442293 PECOS PAC ID: 2365407574 Enrollment ID: O20041130000584 |
| Entity Name | Loudoun Imaging Center / Ashburn Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568615094 PECOS PAC ID: 0042371429 Enrollment ID: O20081203000633 |
| Entity Name | Reston Radiology Consultants, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235307034 PECOS PAC ID: 1557436730 Enrollment ID: O20160527000029 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gavin Blair Gore, 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Mr Gavin Blair Gore, 19500 Sandridge Way, Suite 420, Leesburg, VA 20176-3467 Ph: (571) 375-8601 |
Dr. Scott E Cassar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19500 Sandridge Way, Suite 420, Leesburg, VA 20176 Phone: 571-375-8601 Fax: 571-223-6773 | |
Karan Lotfi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19500 Sandridge Way, Suite 420, Leesburg, VA 20176 Phone: 571-375-8601 Fax: 571-223-6773 | |
Duyanh T Vu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19500 Sandridge Way, Suite 420, Leesburg, VA 20176 Phone: 571-375-8601 Fax: 571-223-6773 | |
Dr. David Thomas Boyd, M.D., M.B.A. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19500 Sandridge Way, Suite 420, Leesburg, VA 20176 Phone: 571-375-8601 Fax: 571-223-6773 | |
Arun Kumar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19500 Sandridge Way, Suite 420, Leesburg, VA 20176 Phone: 571-375-8601 Fax: 571-223-6773 | |
Ziyad Khalil Haddad, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19500 Sandridge Way, Suite 420, Leesburg, VA 20176 Phone: 571-375-8601 Fax: 571-223-6773 |