Dr Jared Lee Antevil, MD | |
620 John Paul Jones Cir, Dept Of Ct Surgery, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2197 | |
(757) 953-2489 | |
(757) 953-2489 |
Full Name | Dr Jared Lee Antevil |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871578534 | NPI | - | NPPES |
1871578534 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 0101246647 (Virginia) | Primary |
Entity Name | Adventist Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376623207 PECOS PAC ID: 4284631540 Enrollment ID: O20061030000122 |
Mailing Address | Practice Location Address |
---|---|
Dr Jared Lee Antevil, MD 620 John Paul Jones Circle, Dept Of Ct Surgery,, Portsmouth, VA 23708-2197 Ph: (757) 953-2489 | Dr Jared Lee Antevil, MD 620 John Paul Jones Cir, Dept Of Ct Surgery, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2197 Ph: (757) 953-2489 |
Dr. Joy Dalesandro, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3640 High St, Suite 2d, Portsmouth, VA 23707 Phone: 757-398-2222 Fax: 757-398-2020 | |
Dr. Vasken K Tenekjian, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3640 High St, Suite 2f, Portsmouth, VA 23707 Phone: 757-397-2383 Fax: 757-937-5201 | |
Dr. Peter Frazier Roberts, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-7550 |