Dr Phuongkhanh Huy Cromwell, MD | |
601 Childrens Ln, Norfolk, VA 23507-1910 | |
(804) 695-0305 | |
Not Available |
Full Name | Dr Phuongkhanh Huy Cromwell |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 601 Childrens Ln, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043204571 | NPI | - | NPPES |
1315V | Other | NC | BCBS NC |
370021704 | Other | NC | RAILROAD MEDICARE |
891315V | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101268121 (Virginia) | Primary |
208000000X | Pediatrics | 200201131 (North Carolina) | Secondary |
Entity Name | East Carolina University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 |
Mailing Address | Practice Location Address |
---|---|
Dr Phuongkhanh Huy Cromwell, MD 349 Bartell Dr, Chesapeake, VA 23322-5546 Ph: (252) 864-6358 | Dr Phuongkhanh Huy Cromwell, MD 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (804) 695-0305 |
Joshua Wayne Gollub, Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7000 | |
Stephen C. Restaino, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7179 Fax: 757-668-9810 | |
Michael Lee Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255 | |
Phyllis R. Hope, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255 | |
Linda D Pegram, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7007 Fax: 757-668-8658 | |
Ernette Yvonne Benson-foulk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6345 Center Dr, Building 14, Norfolk, VA 23502 Phone: 757-461-4027 Fax: 757-461-8821 |