Dr John G Kenerson, MD | |
1708 Old Donation Parkway, Virginia Beach, VA 23454-3064 | |
(757) 395-5300 | |
(757) 213-9341 |
Full Name | Dr John G Kenerson |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1708 Old Donation Parkway, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932158649 | NPI | - | NPPES |
-001 | Other | VA | TRICARE/CHAMPUS |
332623 | Other | VA | ANTHEM BCBS |
PAR | Other | VA | CIGNA |
PAR | Other | VA | VIRGINIA HEALTH NETWORK |
05912 | Other | NC | BCBS |
239706 | Other | VA | ANTHEM |
PAR | Other | VA | MULTIPLAN |
428965 | Other | UHC/MAMSI | |
PAR | Other | VA | AETNA |
1932158649 | Medicaid | VA | |
006016359 | Medicaid | VA | |
10011413 | Other | VA | SHP OHP |
PAR | Other | VA | VIRGINIA PREMIER HEALTH |
8905912 | Medicaid | NC | |
15573 | Other | VA | OPTIMA/SENTARA |
PAR | Other | VA | USA MANAGED CARE |
PAR | Other | VA | CORVEL/CORCARE |
PAR | Other | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 0101034324 (Virginia) | Primary |
Entity Name | Bayview Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508813387 PECOS PAC ID: 5597664201 Enrollment ID: O20031231000719 |
Mailing Address | Practice Location Address |
---|---|
Dr John G Kenerson, MD 5700 Cleveland Street, Suite 228, Virgina Beach, VA 23462-1752 Ph: (757) 499-2825 | Dr John G Kenerson, MD 1708 Old Donation Parkway, Virginia Beach, VA 23454-3064 Ph: (757) 395-5300 |
Haidr Agha, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1157 First Colonial Rd, Ste 200, Virginia Beach, VA 23454 Phone: 757-623-0005 Fax: 757-389-5383 | |
Howard Courtenay Harrison Sr., MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1101 First Colonial Rd, Suite 101, Virginia Beach, VA 23454 Phone: 757-496-9020 Fax: 757-481-0638 | |
Vincent Lee, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 5516 Virginia Beach Blvd, Virginia Beach, VA 23462 Phone: 757-473-3969 | |
Dr. Sue Beth Hudson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 802 Newtown Rd, Virginia Beach, VA 23462 Phone: 757-497-0606 Fax: 757-497-0411 | |
Dr. Rosario Devera Hipol, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 701 Independence Cir Ste 102, Virginia Beach, VA 23455 Phone: 757-499-6395 Fax: 757-499-8026 | |
Dr. Jonah Anyaogu Ulu Ezieme, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1060 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-395-2323 Fax: 757-827-2255 | |
Dr. James Richard Miller, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454 Phone: 757-395-1760 Fax: 757-756-5148 |