Dr Demetria Yvette Austin, MD | |
2800 Godwin Blvd, Suffolk, VA 23434-8038 | |
(757) 967-8622 | |
(757) 686-0541 |
Full Name | Dr Demetria Yvette Austin |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 2800 Godwin Blvd, 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 |
---|---|---|---|
1093700445 | NPI | - | NPPES |
N0044C | Medicaid | SC | |
P00033423 | Other | NC | RAILROAD MEDICARE |
2003-00442 | Other | NC | LICENSE NUMBER |
89134CM | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2003-00442 (North Carolina) | Secondary |
207R00000X | Internal Medicine | 0101254392 (Virginia) | Primary |
Entity Name | Cogent Healthcare Of North Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548207483 PECOS PAC ID: 7911954714 Enrollment ID: O20050404001057 |
Mailing Address | Practice Location Address |
---|---|
Dr Demetria Yvette Austin, MD 3241 Western Branch Blvd Ste A, Chesapeake, VA 23321-5260 Ph: (757) 686-3508 | Dr Demetria Yvette Austin, MD 2800 Godwin Blvd, Suffolk, VA 23434-8038 Ph: (757) 967-8622 |
Dr. James J Stark, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435 Phone: 757-397-4200 Fax: 757-397-3872 | |
Dr. Harish V Iyer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suite 200, Suffolk, VA 23435 Phone: 757-483-6100 Fax: 757-483-2203 | |
Dr. Thomas Vincent Whelan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3009 Corporate Ln, Suite 210, Suffolk, VA 23434 Phone: 757-623-0005 Fax: 757-935-1561 | |
Hussein Mohamed Aboulatta, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Meade Parkway, Suffolk, VA 23434 Phone: 757-539-0251 Fax: 757-934-2564 | |
Dr. Michael T Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St Ste 200, Suffolk, VA 23434 Phone: 757-934-1003 Fax: 757-934-1660 | |
Dr. Youssef Abouleish, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Meade Pkwy Ste 110, Suffolk, VA 23434 Phone: 757-934-9496 |