Clarence Kong, | |
600 Gresham Dr, Norfolk, VA 23507-1904 | |
(516) 562-0100 | |
Not Available |
Full Name | Clarence Kong |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 600 Gresham Dr, 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 |
---|---|---|---|
1548846140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101281857 (Virginia) | Primary |
Entity Name | Emergency Medicine Associates Pa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
Mailing Address | Practice Location Address |
---|---|
Clarence Kong, 600 Gresham Dr, Norfolk, VA 23507-1904 Ph: (646) 463-0258 | Clarence Kong, 600 Gresham Dr, Norfolk, VA 23507-1904 Ph: (516) 562-0100 |
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 | |
Virginia M Stewart, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 358 Mowbray Arch, Suite 203, Norfolk, VA 23507 Phone: 757-388-3399 |