| Dr Samuel T Detwiler, DO | |
|
2323 Memorial Ave Ste 10, Lynchburg, VA 24501-2652 | |
| (434) 200-5200 | |
| (434) 200-5200 |
| Full Name | Dr Samuel T Detwiler |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2323 Memorial Ave Ste 10, Lynchburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548259617 | NPI | - | NPPES |
| 000000285856 | Other | OH | UNICARE-LIFE AND HEALTH |
| 2393299 | Medicaid | OH | |
| 753111223027 | Other | OH | CARESOURCE |
| 000000285856 | Other | OH | ANTHEM BCBS |
| P006463 | Other | OH | GATEWAY HEALTH PLAN OF OH |
| 4489898 | Other | OH | CIGNA |
| J07985 | Other | OH | SUMMACARE HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-00-7985 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | OS016525 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 0102209331 (Virginia) | Primary |
| Entity Name | Upmc Community Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558976092 PECOS PAC ID: 2062318975 Enrollment ID: O20040217000388 |
| Entity Name | Bhs Faster Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316269863 PECOS PAC ID: 4880719038 Enrollment ID: O20100913000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel T Detwiler, DO 7126 Fairway Dr, Butler, PA 16001-8596 Ph: (724) 256-6960 | Dr Samuel T Detwiler, DO 2323 Memorial Ave Ste 10, Lynchburg, VA 24501-2652 Ph: (434) 200-5200 |
Dr. Jongoh Lim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2323 Memorial Ave Ste 10, Lynchburg, VA 24501 Phone: 434-200-5200 | |
Gregg R. Albers, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2811 Linkhorne Dr, Suite A, Lynchburg, VA 24503 Phone: 434-384-1581 Fax: 434-384-5609 | |
Dr. Sebastian J Ksionski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Oak Ln, Lynchburg, VA 24503 Phone: 434-200-4175 | |
Carrie Y, Beaumont, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1971 University Blvd, Lynchburg, VA 24502 Phone: 434-582-2514 Fax: 434-582-2516 | |
Louis B Graham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 20304 Timberlake Rd, Lynchburg, VA 24502 Phone: 434-237-6471 Fax: 434-237-8810 | |
Patricia Richardson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Landover Pl, Lynchburg, VA 24501 Phone: 434-947-3944 Fax: 866-617-8273 | |
Dr. Cory Joseph Edwards, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2323 Memorial Ave Ste 10, Lynchburg, VA 24501 Phone: 434-200-5200 Fax: 434-200-1641 |