| Reverent Medical Group Inc | |
|
623 Emancipation Hwy Ste 101 Fredericksburg VA 22401-4437 | |
| (800) 452-5574 | |
| (540) 940-6249 |
| Full Name | Reverent Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 623 Emancipation Hwy Ste 101, Fredericksburg, Virginia |
| Authorized Official Name and Position | Petros Ayele (CO OWNER) |
| Authorized Official Contact | 2028213040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reverent Medical Group Inc 623 Emancipation Hwy Ste 101 Fredericksburg VA 22401-4437 Ph: (800) 452-5574 | Reverent Medical Group Inc 623 Emancipation Hwy Ste 101 Fredericksburg VA 22401-4437 Ph: (800) 452-5574 |
| NPI Number | 1457861403 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 10/12/2022 |
| Medicare PECOS PAC ID | 2466710827 |
|---|---|
| Medicare Enrollment ID | O20171213001948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457861403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Petros Ayele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720238868 PECOS PAC ID: 9739228453 Enrollment ID: I20091209000125 |
| Provider Name | Donna Cyrus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285004572 PECOS PAC ID: 5294011821 Enrollment ID: I20170417000604 |
Mary Washington Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1041 Fax: 540-741-1408 | |
Fredericksburg Area Regional Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401 Phone: 540-741-1055 Fax: 540-741-3103 | |
Primary And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 Phone: 540-785-9900 | |
Mount Arvon Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408 Phone: 540-862-6011 | |
Fredericksburg Geriatric Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Townes Pl, Fredericksburg, VA 22405 Phone: 800-832-9258 | |
Jay David Brock, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Lafayette Blvd, Fredericksburg, VA 22408 Phone: 540-891-5600 Fax: 540-891-9034 | |
Medidoctors Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1428 Fax: 540-741-1420 |