David F Waller, MD | |
4868 Bridge Rd, Suite 300, Suffolk, VA 23435-2048 | |
(757) 483-7100 | |
(757) 483-7150 |
Full Name | David F Waller |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4868 Bridge Rd, Suffolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518966688 | NPI | - | NPPES |
005623260 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101047125 (Virginia) | Primary |
Entity Name | Bayview Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508813387 PECOS PAC ID: 5597664201 Enrollment ID: O20031231000719 |
Mailing Address | Practice Location Address |
---|---|
David F Waller, MD 4868 Bridge Rd, Suite 300, Suffolk, VA 23435-2048 Ph: (757) 483-7100 | David F Waller, MD 4868 Bridge Rd, Suite 300, Suffolk, VA 23435-2048 Ph: (757) 483-7100 |
Dr. Quan Vu Hong Dao, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 148 Burnetts Way Ste 107, Suffolk, VA 23434 Phone: 757-738-1375 | |
Mokhtar O Morgan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 Hillpoint Blvd N, Suffolk, VA 23434 Phone: 757-934-3434 Fax: 757-538-9038 | |
Linda Kay Frey, N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2019 Meade Pkwy, Suffolk, VA 23434 Phone: 757-923-1060 Fax: 757-923-1068 | |
Margie Pantangco Pascual, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5818-d Harbour View Blvd, Suite 250, Suffolk, VA 23435 Phone: 757-673-5890 Fax: 757-673-5946 | |
James Bauss Harding, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2760 Godwin Blvd Ste 100, Suffolk, VA 23434 Phone: 757-983-8650 | |
Jessica Lynne Bernens, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5833 Harbour View Blvd Ste B, Suffolk, VA 23435 Phone: 757-337-4018 Fax: 757-337-4019 | |
Dr. Jessica Anne Mason, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7185 Harbour Towne Pkwy S Ste 206, Suffolk, VA 23435 Phone: 757-484-5828 Fax: 757-484-4371 |