Clinton Enos, | |
721 Fairfax Ave Ste 200, Norfolk, VA 23507-2007 | |
(757) 446-5629 | |
(757) 446-6000 |
Full Name | Clinton Enos |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 8 Years |
Location | 721 Fairfax Ave Ste 200, Norfolk, 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 |
---|---|---|---|
1366896458 | NPI | - | NPPES |
110954500 | Medicaid | FL |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evms Academic Physicians And Surgeons Health Services Foundation | 5698675510 | 191 |
Entity Name | Evms Academic Physicians And Surgeons Health Services Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003887118 PECOS PAC ID: 5698675510 Enrollment ID: O20040304001377 |
Mailing Address | Practice Location Address |
---|---|
Clinton Enos, 721 Fairfax Ave Ste 200, Norfolk, VA 23507-2007 Ph: (757) 446-5629 | Clinton Enos, 721 Fairfax Ave Ste 200, Norfolk, VA 23507-2007 Ph: (757) 446-5629 |
Brian Bradley Johnson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 5630 Lowery Rd Ste 200, Norfolk, VA 23502 Phone: 757-455-5009 Fax: 757-362-3577 | |
Dr. Antoinette Foote Hood, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 721 Fairfax Ave, Suite 200, Norfolk, VA 23507 Phone: 757-446-5629 Fax: 757-446-6000 | |
Molly K Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6160 Kempsville Cir Ste 200a, Norfolk, VA 23502 Phone: 757-622-6315 Fax: 757-622-7022 | |
Dr. Mark W Jenison, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 850 Kempsville Rd, Norfolk, VA 23502 Phone: 757-466-5733 Fax: 757-466-5623 | |
Dr. Brian L Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5630 Lowery Rd, Norfolk, VA 23502 Phone: 757-455-5009 Fax: 757-362-3577 | |
Ruaa Jasim, MD Dermatology Medicare: Medicare Enrolled Practice Location: 721 Fairfax Ave Ste 200, Norfolk, VA 23507 Phone: 757-446-5629 Fax: 757-446-6000 | |
Katherine Gresham Belote, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6160 Kempsville Cir Ste 200a, Norfolk, VA 23502 Phone: 757-622-6315 Fax: 757-622-7022 |