| Virginia H Kockler, MD | |
| 
					57 Beam Ln Ste 202, Fishersville, VA 22939-2350  | |
| (540) 932-0980 | |
| (540) 932-0979 | 
| Full Name | Virginia H Kockler | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 57 Beam Ln Ste 202, Fishersville, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619141330 | NPI | - | NPPES | 
| 003902800 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | ME109764 (Florida) | Secondary | 
| 208000000X | Pediatrics | 0101259811 (Virginia) | Primary | 
| Entity Name | University Of Virginia Physicians Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Virginia H Kockler, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: () -  | Virginia H Kockler, MD 57 Beam Ln Ste 202, Fishersville, VA 22939-2350 Ph: (540) 932-0980  | 
Michelle A. Brooks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Beam Ln Ste 202, Fishersville, VA 22939 Phone: 540-932-0980 Fax: 434-932-0979  | |
Rebecca L Isbell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 N Medical Park Dr, Fishersville, VA 22939 Phone: 540-932-5373 Fax: 540-932-5382  | |
John Stephen Campbell, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 184 Hickory Hill Rd, Fishersville, VA 22939 Phone: 540-932-2222 Fax: 540-886-7364  | |
Dr. Michelle Diane Wagner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-932-7075 Fax: 540-932-5199  | |
Angela Marianela Michaels, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-932-4075 Fax: 540-932-5199  | |
Michael L Gwaltney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 78 Medical Center Dr, Fishersville, VA 22939 Phone: 540-932-4075 Fax: 540-932-5199  | |
Samuel Cross,  Pediatrics Medicare: Medicare Enrolled Practice Location: 57 Beam Ln Ste 202, Fishersville, VA 22939 Phone: 540-932-0980 Fax: 540-932-0979  |