Dr Fredrick Newell Southern, MD | |
5589 Greenwich Rd Ste 100, Virginia Beach, VA 23462 | |
(757) 437-2882 | |
(757) 502-8800 |
Full Name | Dr Fredrick Newell Southern |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 37 Years |
Location | 5589 Greenwich Rd Ste 100, Virginia Beach, 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 |
---|---|---|---|
1154381333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 0101044423 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain Spring Vascular | 2062826316 | 16 |
Ivyrehab Sept, Llc | 7911990908 | 1173 |
Entity Name | Mountain Spring Vascular |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639770621 PECOS PAC ID: 2062826316 Enrollment ID: O20210127001314 |
Entity Name | Fairfax Loudoun Obgyn, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922356054 PECOS PAC ID: 7911152301 Enrollment ID: O20230908002506 |
Mailing Address | Practice Location Address |
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Dr Fredrick Newell Southern, MD 5589 Greenwich Rd Ste 100, Virginia Beach, VA 23462-6565 Ph: (757) 437-2882 | Dr Fredrick Newell Southern, MD 5589 Greenwich Rd Ste 100, Virginia Beach, VA 23462 Ph: (757) 437-2882 |
Jean Michel Panneton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452 Phone: 757-395-1600 Fax: 757-961-9359 | |
Dr. Gregory Adam Barber, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5589 Greenwich Rd Ste 100, Virginia Beach, VA 23462 Phone: 757-437-2882 Fax: 757-502-8800 | |
Michael J Zugarek, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452 Phone: 757-395-1600 Fax: 757-961-9359 | |
Siddharth Kishore Bhende, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452 Phone: 757-395-1600 Fax: 757-961-9359 | |
Hosam Farouk El Sayed, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452 Phone: 757-395-1600 | |
Laurence William Enderson Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1080 First Colonial Rd Ste 200, Virginia Beach, VA 23454 Phone: 757-395-6070 Fax: 757-395-6381 | |
Marc H Glickman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 397 Little Neck Rd, Ste 100 3300 South Bldg, Virginia Beach, VA 23452 Phone: 757-470-5570 Fax: 757-227-3377 |