| William Watterson, MD | |
|
2410 Pagehurst Drive, Midlothian, VA 23113 | |
| (804) 897-6140 | |
| (804) 897-6141 |
| Full Name | William Watterson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 2410 Pagehurst Drive, Midlothian, 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 |
|---|---|---|---|
| 1578588976 | NPI | - | NPPES |
| 006736319 | Medicaid | VA | |
| 333920 | Other | VA | BLUE SHIELD |
| 333922 | Other | VA | BLUE SHIELD |
| 141554 | Other | VA | BLUE SHIELD |
| 1578588976 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101052275 (Virginia) | Secondary |
| 207R00000X | Internal Medicine | 101052275 (Virginia) | Primary |
| 208000000X | Pediatrics | 101052275 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayada Home Health Care | Williamsburg, VA | Home health agency |
| Nayar Health Care Llc | Henrico, VA | Home health agency |
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Bon Secours St Marys Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| William Watterson, MD 2410 Pagehurst Dr, Midlothian, VA 23113-6411 Ph: (804) 897-6140 | William Watterson, MD 2410 Pagehurst Drive, Midlothian, VA 23113 Ph: (804) 897-6140 |
Dr. Jennifer Simpliciano, Internal Medicine Medicare: Medicare Enrolled Practice Location: 611 Watkins Centre Pkwy Ste 250, Midlothian, VA 23114 Phone: 804-423-8470 Fax: 804-423-8471 | |
Dr. Vicki B Latham-solomon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13901 Coalfield Commons Pl Ste 201, Midlothian, VA 23114 Phone: 804-420-1200 Fax: 804-344-0980 | |
Mark A Gentz, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 505, Midlothian, VA 23114 Phone: 804-601-0609 Fax: 804-594-7424 | |
Shashi Kumar Prabhakar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 600, Midlothian, VA 23114 Phone: 804-794-6400 Fax: 804-897-0910 | |
Francesca Levine Glynn, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 510, Midlothian, VA 23114 Phone: 804-423-8470 Fax: 804-423-8471 | |
Morgan L. Vargo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2384 Colony Crossing Pl, Midlothian, VA 23112 Phone: 804-423-3636 | |
Omar F Shams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 600, Midlothian, VA 23114 Phone: 804-794-6400 Fax: 804-897-0910 |