Dr Deryk Christopher Sequeira, MD | |
1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | |
(804) 828-2467 | |
(804) 828-6662 |
Full Name | Dr Deryk Christopher Sequeira |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1401 Johnston Willis Dr, North Chesterfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124004452 | NPI | - | NPPES |
010082668 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 0101236265 (Virginia) | Primary |
Entity Name | Centra Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
Mailing Address | Practice Location Address |
---|---|
Dr Deryk Christopher Sequeira, MD Po Box 91734, Richmond, VA 23291-1734 Ph: (804) 358-6100 | Dr Deryk Christopher Sequeira, MD 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 Ph: (804) 828-2467 |
Hollie Nicole Rhodes, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2612 Buford Rd Ste A, North Chesterfield, VA 23235 Phone: 804-806-3933 | |
Paola Andrea Ortega-rodriguez, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3914 Meadowdale Blvd, North Chesterfield, VA 23234 Phone: 804-447-3490 Fax: 804-447-3872 | |
Naishai R Herrin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3523 Oregon Oak Dr, North Chesterfield, VA 23234 Phone: 828-446-9308 | |
Dr. Eric Bernard Freeman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9323 Midlothian Tpke, Suite E, North Chesterfield, VA 23235 Phone: 804-212-1144 Fax: 804-320-3681 |