Benjamin Klick, MD | |
601 Childrens Ln, Norfolk, VA 23507-1910 | |
(757) 668-7000 | |
Not Available |
Full Name | Benjamin Klick |
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Gender | Male |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | 601 Childrens Ln, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992192405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 0101264110 (Virginia) | Primary |
208000000X | Pediatrics | 0101264110 (Virginia) | Secondary |
Entity Name | Childrens Hospital Of The Kings Daughters Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578954590 PECOS PAC ID: 0941265284 Enrollment ID: O20150623001707 |
Mailing Address | Practice Location Address |
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Benjamin Klick, MD 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-7000 | Benjamin Klick, MD 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-7000 |
Ruth Gordon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6379 Center Dr, Norfolk, VA 23502 Phone: 757-467-4200 | |
Miss Kaci Elizabeth Gogel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Rm 304, Emergency Department, Norfolk, VA 23507 Phone: 757-388-3397 Fax: 757-388-2885 | |
Dr. Benjamin Lee Chidester, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Gresham Drive, Norfolk, VA 23507 Phone: 757-388-3000 | |
Dr. Moses Tucker Laffitte Iv, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Gresham Drive, Norfolk, VA 23507 Phone: 757-388-3000 | |
Theodore Tzavaras, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Suite 304, Norfolk, VA 23507 Phone: 757-388-3397 | |
Ronald Christopher Fenton, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1775 Forrestal Drive Bldg Nh-33, Norfolk, VA 23551 Phone: 757-953-1552 | |
Dr. Clay Kingsley Lifton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Raleigh Building Room 304, Norfolk, VA 23507 Phone: 757-388-3397 |