Dr Juan C Beteta, MD | |
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | |
(757) 953-6366 | |
(757) 953-6056 |
Full Name | Dr Juan C Beteta |
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Gender | Male |
Speciality | Pediatrics |
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 |
---|---|---|---|
1417942947 | NPI | - | NPPES |
00119596 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2009-01512 (North Carolina) | Secondary |
208000000X | Pediatrics | 15929 (Mississippi) | Secondary |
208000000X | Pediatrics | 0101239136 (Virginia) | Primary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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Dr Juan C Beteta, MD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-6366 | Dr Juan C Beteta, MD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-6366 |
Justin Hollon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-4529 Fax: 757-953-3293 | |
Dr. Mary Elizabeth Watson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Dept. Of Pediatrics, Portsmouth, VA 23708 Phone: 757-953-2960 | |
Dr. Clinton Forrest Faison Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-7424 Fax: 757-953-5104 | |
Dr. Rebecca D. Christi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5652 | |
Dr. Arek Hidirsah, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir Dept Aya, Portsmouth, VA 23708 Phone: 757-953-0167 Fax: 757-953-0058 | |
Dr. John Kenyon Watson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-2983 Fax: 757-953-0858 | |
Dr. Sean Sullivan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: John Paul Jones Circle, Department Of Pediatrics, Portsmouth, VA 23708 Phone: 757-953-7550 |