| Randall T Bashore, MD | |
|
25892 N. James Madison Hwy, New Canton, VA 23123-0220 | |
| (434) 581-3271 | |
| (434) 581-1105 |
| Full Name | Randall T Bashore |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 25892 N. James Madison Hwy, New Canton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992783286 | NPI | - | NPPES |
| 110059443 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101035538 (Virginia) | Primary |
| Entity Name | Central Virginia Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134258601 PECOS PAC ID: 0345158432 Enrollment ID: O20031119000823 |
| Entity Name | Central Virginia Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548632508 PECOS PAC ID: 0345158432 Enrollment ID: O20160524000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall T Bashore, MD Po Box 220, New Canton, VA 23123-0220 Ph: (434) 581-3271 | Randall T Bashore, MD 25892 N. James Madison Hwy, New Canton, VA 23123-0220 Ph: (434) 581-3271 |
Maryanne D Williams, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25892 N James Madison Hwy, New Canton, VA 23123 Phone: 434-581-3271 | |
Brian K Blackwell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25892 N. James Madison Hwy, New Canton, VA 23123 Phone: 434-581-3271 Fax: 434-581-1105 | |
David M Campanelli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25892 N. James Madison Hwy, New Canton, VA 23123 Phone: 434-581-3271 Fax: 434-581-1105 |