| Shubhro Bose, MD | |
|
9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | |
| (210) 916-4789 | |
| (210) 916-6654 |
| Full Name | Shubhro Bose |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 4 Years |
| Location | 9300 Dewitt Loop, Fort Belvoir, 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 |
|---|---|---|---|
| 1255925939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | U0967 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Saint Mary's Hospital | Leonardtown, MD | Hospital |
| Inova Mount Vernon Hospital | Alexandria, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Services Of Va Llc | 6103291430 | 28 |
| Medstar Medical Group Ii Llc | 0547413825 | 2998 |
| Commonwealth Emergency Physicians Pc | 7618870312 | 30 |
| Entity Name | Emergency Medicine Services Of Va Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992402069 PECOS PAC ID: 6103291430 Enrollment ID: O20230418002343 |
| Mailing Address | Practice Location Address |
|---|---|
| Shubhro Bose, MD 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (571) 231-3224 | Shubhro Bose, MD 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (210) 916-4789 |
Leslie Rachel Vojta, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
Gurkiran K Sardar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3126 | |
Dr. John R Fischer, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: A.t. Augusta Military Medical Center 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3162 | |
Mr. Clayton Gabriel Lawrence, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Dewitt Army Community Hospital, Fort Belvoir, VA 22060 Phone: 703-805-0414 | |
Dr. Richard J Repeta Jr., MD, MPH Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Attn: Emergency Department, Fort Belvoir, VA 22060 Phone: 703-805-0414 Fax: 703-805-0416 | |
Joseph Michael Frontino, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3162 | |
Dr. Timothy Paul Barron, D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9501 Farrell Rd, Dewitt Army Community Hospital, Fort Belvoir, VA 22060 Phone: 703-805-0342 Fax: 703-805-0731 |