| John R Lundgren, PA | |
|
7101 Jahnke Rd, Suite 500, Richmond, VA 23225-4017 | |
| (804) 320-2751 | |
| (804) 330-3831 |
| Full Name | John R Lundgren |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 40 Years |
| Location | 7101 Jahnke Rd, Richmond, 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 |
|---|---|---|---|
| 1124118377 | NPI | - | NPPES |
| C06778 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 00110003145 (Virginia) | Primary |
| 363AS0400X | Physician Assistant - Surgical | C5-0001388 (Delaware) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winchester Medical Center | Winchester, VA | Hospital |
| Warren Memorial Hospital | Front royal, VA | Hospital |
| Shenandoah Memorial Hospital | Woodstock, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Physician Enterprise Inc | 9931268091 | 176 |
| Winchester Medical Center | 0244134021 | 313 |
| Entity Name | Winchester Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679711261 PECOS PAC ID: 0244134021 Enrollment ID: O20031124000061 |
| Entity Name | Valley Physician Enterprise Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538316203 PECOS PAC ID: 9931268091 Enrollment ID: O20081104000278 |
| 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 |
|---|---|
| John R Lundgren, PA 75 W Lee Hwy, Warrenton, VA 20186-2149 Ph: (610) 388-6600 | John R Lundgren, PA 7101 Jahnke Rd, Suite 500, Richmond, VA 23225-4017 Ph: (804) 320-2751 |
Mrs. Erica Storey Cline, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1250 E Marshall St, Emergency Medicine, Richmond, VA 23298 Phone: 804-828-0996 Fax: 804-828-8646 |
Mrs. Sara Duvall Mccarthy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 N 28th St, Richmond, VA 23223 Phone: 804-225-1700 Fax: 804-225-1725 |
Chadwick Steendam, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5805 Staples Mill Rd, Richmond, VA 23228 Phone: 804-913-2262 Fax: 804-336-0420 |
Maeve C Buni, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 804-289-4500 |
Laura E Toney, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5899 Bremo Rd, Ste 100, Richmond, VA 23226 Phone: 804-288-8512 Fax: 804-288-4552 |
Mrs. Shannon Scott Shellenhamer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 N Thompson St, Richmond, VA 23221 Phone: 804-359-1337 Fax: 804-358-9861 |
Kaitlyn Nicole Earley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Semmes Ave, Richmond, VA 23224 Phone: 804-404-0107 |