Douglas Mitchell, MD | |
2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 | |
(757) 668-6715 | |
(757) 668-6680 |
Full Name | Douglas Mitchell |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2117 Mccomas Way, 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 |
---|---|---|---|
1255350823 | NPI | - | NPPES |
4262560 | Other | VA | AETNA |
10076714 | Medicaid | VA | |
144741 | Other | VA | ANTHAM BCBS,HK,HK,FAMIS |
541778786 | Other | NC | NC HEALTH |
5417787860571E | Other | VA | CIGNA |
814949 | Other | VA | ALLIANCE,MDIPA,MAMSI |
15992 | Other | VA | OPTIMA, FAMILY CARE,FAMIS |
890685R | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101048453 (Virginia) | Primary |
Entity Name | Childrens Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629546106 PECOS PAC ID: 2769487594 Enrollment ID: O20120426000044 |
Mailing Address | Practice Location Address |
---|---|
Douglas Mitchell, MD 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 Ph: (757) 668-6715 | Douglas Mitchell, MD 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 Ph: (757) 668-6715 |
Michele Wadsworth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456 Phone: 757-668-6715 Fax: 757-668-6680 | |
Judit Maria Chavarria Espinoza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1950 Glenn Mitchell Dr Ste 310, Virginia Beach, VA 23456 Phone: 757-507-0255 Fax: 757-275-9880 | |
Dr. Christopher J Wrubel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1080 First Colonial Rd, Ste 412, Virginia Beach, VA 23454 Phone: 757-395-6500 Fax: 757-275-9885 | |
Dr. Robert David Lehman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Grayson Rd, Suite 101, Virginia Beach, VA 23462 Phone: 757-473-3200 Fax: 757-473-0459 | |
Dr. Robert Albert Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 293 Independence Blvd, Pembroke Five, Suite 330, Virginia Beach, VA 23462 Phone: 757-499-4949 Fax: 757-499-0648 | |
Marguerite Slingluff Lengkeek, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1704 Sir William Osler Dr, Virginia Beach, VA 23454 Phone: 202-680-4106 | |
Dr. Carmencita M Canonizado, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4125 Cheswick Ln, Virginia Beach, VA 23455 Phone: 757-499-5056 |