Dr John Michael Shutack, MD | |
300 Medical Pkwy Ste 206, Chesapeake, VA 23320 | |
(757) 690-8990 | |
(757) 198-6944 |
Full Name | Dr John Michael Shutack |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 29 Years |
Location | 300 Medical Pkwy Ste 206, Chesapeake, 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 |
---|---|---|---|
1104927458 | NPI | - | NPPES |
0101102740 | Other | VA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 0101102740 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
Sentara Albemarle Medical Center | Elizabeth city, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chesapeake Regional Medical Group | 8426113663 | 95 |
Entity Name | Chesapeake Neuroinstitute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205948551 PECOS PAC ID: 4183620149 Enrollment ID: O20061013000482 |
Entity Name | Chesapeake Regional Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699940270 PECOS PAC ID: 8426113663 Enrollment ID: O20090223000187 |
Mailing Address | Practice Location Address |
---|---|
Dr John Michael Shutack, MD 667 Kingsborough Sq Ste 101, Chesapeake, VA 23320-4999 Ph: (757) 842-4481 | Dr John Michael Shutack, MD 300 Medical Pkwy Ste 206, Chesapeake, VA 23320 Ph: (757) 690-8990 |
Mr. Bernardo Jose Ordonez, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Pkwy Ste 206, Chesapeake, VA 23320 Phone: 757-690-8990 | |
Jonathan Philip Partington, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 300 Medical Pkwy Ste 200, Chesapeake, VA 23320 Phone: 757-625-4455 Fax: 757-625-1829 | |
Joseph Lee Koen, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Pkwy Ste 200, Chesapeake, VA 23320 Phone: 757-625-4455 Fax: 757-625-1829 | |
David Carl Waters, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Pkwy Ste 200, Chesapeake, VA 23320 Phone: 757-625-4455 Fax: 757-625-1829 | |
Dr. John Leland Grant, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3909 Stonebridge Ct, Chesapeake, VA 23321 Phone: 757-670-5446 | |
Grant Alan Skidmore, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Pkwy Ste 200, Chesapeake, VA 23320 Phone: 757-625-4455 Fax: 757-625-1829 |