Dr Mark Ewing Chisam, MD | |
3901 Treyburn Dr, Suite B, Williamsburg, VA 23185-2891 | |
(757) 220-4900 | |
(757) 565-5328 |
Full Name | Dr Mark Ewing Chisam |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 30 Years |
Location | 3901 Treyburn Dr, Williamsburg, 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 |
---|---|---|---|
1053381251 | NPI | - | NPPES |
1053381251 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 0101054200 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Regional Medical Center | Newport news, VA | Hospital |
Riverside Walter Reed Hospital | Gloucester, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverside Physician Services Inc | 5092608448 | 738 |
Entity Name | Riverside Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Ewing Chisam, MD 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318 Ph: () - | Dr Mark Ewing Chisam, MD 3901 Treyburn Dr, Suite B, Williamsburg, VA 23185-2891 Ph: (757) 220-4900 |
Dr. Richard B. Circeo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 35 Whittakers Mill Rd, Williamsburg, VA 23185 Phone: 757-220-2687 | |
Dr. Donald E La Vay, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 109 George Sandys, Williamsburg, VA 23185 Phone: 757-258-9585 | |
Michael Salvatore Montileone, MD Radiology Medicare: Medicare Enrolled Practice Location: 100 Sentara Circle, Sentara Williamsburg Regional Medical Center, Williamsburg, VA 23188 Phone: 757-984-7890 Fax: 757-984-7891 | |
Matthew T. Doherty, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5424 Discovery Park Blvd, Williamsburg, VA 23188 Phone: 757-707-3510 | |
Dr. Jonathan Lavery Stolz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 145 Captaine Graves, Williamsburg, VA 23185 Phone: 757-229-2498 | |
Melinda Martin Dunn, MD Radiology Medicare: Medicare Enrolled Practice Location: 400 Sentara Circle, Getty Outpatient Center Womens Imaging Center, Williamsburg, VA 23188 Phone: 757-345-4080 Fax: 757-345-4001 |