Allen R Fenderson, MD | |
351 Edwin Dr, Ste 102, Virginia Beach, VA 23462-4559 | |
(757) 499-5550 | |
Not Available |
Full Name | Allen R Fenderson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 351 Edwin Dr, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205832979 | NPI | - | NPPES |
010014832 | Medicaid | VA | |
462019 | Other | VA | ANTHEM |
P00137845 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101027355 (Virginia) | Primary |
Entity Name | Tidewater Physicians Multispecialty Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
Mailing Address | Practice Location Address |
---|---|
Allen R Fenderson, MD 860 Omni Blvd Ste 101, Newport News, VA 23606-4430 Ph: (757) 232-8769 | Allen R Fenderson, MD 351 Edwin Dr, Ste 102, Virginia Beach, VA 23462-4559 Ph: (757) 499-5550 |
Dale-marie Nekeisha Mckie, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5516 Virginia Beach Blvd, Virginia Beach, VA 23462 Phone: 757-473-3969 | |
Dr. George Bullard Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 First Colonial Rd, Suite 100, Virginia Beach, VA 23454 Phone: 757-481-2333 Fax: 757-481-1037 | |
Dr. William M Hurst, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4005 Richardson Rd, Virginia Beach, VA 23455 Phone: 757-462-7403 Fax: 757-462-4292 | |
Dr. Julian Lee Greer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 332 Newtown Rd, Virginia Beach, VA 23462 Phone: 757-473-8400 | |
Dr. Michael George Charles, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3745 Holland Rd Ste 200, Virginia Beach, VA 23452 Phone: 757-395-1700 Fax: 757-507-9004 | |
Dr. Robin Nicole Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2017 Pleasure House Rd, Virginia Beach, VA 23455 Phone: 757-318-6900 Fax: 757-318-6901 | |
Biswa Bhattacharyya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2088 S Independence Blvd Ste 103, Virginia Beach, VA 23453 Phone: 757-275-9331 Fax: 757-416-7656 |