Dr Dietrich Albert Fellner, MD | |
813 Independence Blvd, Virginia Beach, VA 23455-6004 | |
(757) 490-9091 | |
(757) 490-3250 |
Full Name | Dr Dietrich Albert Fellner |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 25 Years |
Location | 813 Independence Blvd, Virginia Beach, Virginia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922097179 | NPI | - | NPPES |
110252 | Other | VA | ANTHEM BLUE CROSS |
541206650 | Other | VA | TRICARE |
010030013 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 0101232452 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Leigh Hospital | Norfolk, VA | Hospital |
Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Eye Specialists Ltd | 3577464718 | 2 |
Entity Name | The Eye Specialists Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720179104 PECOS PAC ID: 3577464718 Enrollment ID: O20040120000301 |
Mailing Address | Practice Location Address |
---|---|
Dr Dietrich Albert Fellner, MD 813 Independence Blvd, Virginia Beach, VA 23455-6004 Ph: (757) 490-9091 | Dr Dietrich Albert Fellner, MD 813 Independence Blvd, Virginia Beach, VA 23455-6004 Ph: (757) 490-9091 |
Massoum Moayery, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 700 Independence Circle, Suite 2d, Virginia Beach, VA 23455 Phone: 757-497-1987 Fax: 757-671-7002 | |
Dr. Douglas Mercer Rampona, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 848 First Colonial Rd, Virginia Beach, VA 23451 Phone: 757-428-1005 | |
Dr. Teresa A Shenouda, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 828 Healthy Way Ste 200, Virginia Beach, VA 23462 Phone: 757-932-5393 Fax: 757-938-5121 | |
Dr. Reynaldo Molina Francisco, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5265 Providence Rd, Ste 505, Virginia Beach, VA 23464 Phone: 757-495-9525 Fax: 757-495-8910 | |
Earl Russell Crouch Iii, MD Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 4665 South Blvd, Virginia Beach, VA 23452 Phone: 757-461-0050 Fax: 757-461-4538 | |
Dr. Waller L Taylor Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1821 Old Donation Parkway, Suite 1, Virginia Beach, VA 23454 Phone: 757-481-6954 Fax: 757-481-1965 | |
Dr. Vivek Kumar Jain, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1201 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-425-5550 Fax: 757-412-2606 |