Dr Banu Prasad Myneni, DO | |
3235 Academy Ave Ste 101, Portsmouth, VA 23703-3200 | |
(757) 484-7386 | |
Not Available |
Full Name | Dr Banu Prasad Myneni |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 3235 Academy Ave Ste 101, Portsmouth, 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 |
---|---|---|---|
1780082693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-144866 (Illinois) | Secondary |
207Q00000X | Family Medicine | 0102206019 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours Maryview Medical Center | Portsmouth, VA | Hospital |
Sentara Obici Hospital | Suffolk, VA | Hospital |
Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Privia Medical Group Llc | 4385682061 | 1223 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Dr Banu Prasad Myneni, DO 3235 Academy Ave Ste 101, Portsmouth, VA 23703-3200 Ph: (757) 484-7386 | Dr Banu Prasad Myneni, DO 3235 Academy Ave Ste 101, Portsmouth, VA 23703-3200 Ph: (757) 484-7386 |
Dr. Margaret A Baumgarten, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3640 High St Ste 3b, Portsmouth, VA 23707 Phone: 757-397-6344 Fax: 757-606-1185 | |
Dr. Chung U Chung, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2595 Victory Blvd, Portsmouth, VA 23702 Phone: 757-487-4949 Fax: 757-487-5265 | |
Dr. Himani Bhasin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 Phone: 757-264-5913 | |
Dr. Peter D Sherrod, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-2386 | |
Dr. Franklin M Soriano Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4725 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-488-6400 Fax: 757-488-2572 | |
Dr. Jose Hiram Rodriguez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-393-1136 Fax: 757-698-2499 | |
Kathleen Tilman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-7550 |