| Theodore Ilie Cisu, MD | |
|
70 Medical Center Cir Ste 302, Fishersville, VA 22939-2273 | |
| (540) 332-5630 | |
| (540) 332-5631 |
| Full Name | Theodore Ilie Cisu |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 8 Years |
| Location | 70 Medical Center Cir Ste 302, Fishersville, 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 |
|---|---|---|---|
| 1891285417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 0101277959 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Augusta Health | Fishersville, VA | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Augusta Medical Group | 3678632544 | 363 |
| Blue Ridge Medical Management Corporation | 9739099441 | 306 |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
| Entity Name | Augusta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245489590 PECOS PAC ID: 3678632544 Enrollment ID: O20081106000590 |
| Entity Name | Blue Ridge Urological Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528394228 PECOS PAC ID: 3779622196 Enrollment ID: O20091124000706 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Ilie Cisu, MD Po Box 388, Fishersville, VA 22939-0388 Ph: () - | Theodore Ilie Cisu, MD 70 Medical Center Cir Ste 302, Fishersville, VA 22939-2273 Ph: (540) 332-5630 |
Carie Daniel Buckley Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Center Cir, Suite 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 | |
Dr. Matthew Risendal, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 70 Medical Center Cir Ste 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 | |
Stephen Earl Schmitz, M.D Urology Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Center Cir Ste 208, Fishersville, VA 22939 Phone: 540-932-5926 | |
Phillips Respess Bryan Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 70 Medical Center Cir, Suite 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 | |
William Rowland Jones Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 70 Medical Center Cir, Suite 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 | |
Dr. Sam D. Graham, M.D. Urology Medicare: Medicare Enrolled Practice Location: 70 Medical Center Cir Ste 208, Fishersville, VA 22939 Phone: 540-332-5926 Fax: 540-332-5930 |