Dr Peter John Pommerville, BA, MD, FRCSC | |
280 Pale San Vitores Road, Tamuning, GU 96913 | |
(671) 647-4542 | |
(671) 647-4558 |
Full Name | Dr Peter John Pommerville |
---|---|
Gender | Male |
Speciality | Urology - Female Pelvic Medicine And Reconstructive Surgery |
Location | 280 Pale San Vitores Road, Tamuning, Guam |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902358922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088F0040X | Urology - Female Pelvic Medicine And Reconstructive Surgery | M-1955 (Guam) | Primary |
Entity Name | Hafa Specialist Group Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235141060 PECOS PAC ID: 3779482286 Enrollment ID: O20040105000249 |
Entity Name | Guam Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366519027 PECOS PAC ID: 5890781694 Enrollment ID: O20040426000038 |
Entity Name | Hafa Specialist Group Llp |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1881929842 PECOS PAC ID: 3779482286 Enrollment ID: O20160503000417 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter John Pommerville, BA, MD, FRCSC 280 Pale San Vitores Road, Tamuning, GU 96913 Ph: (671) 647-4542 | Dr Peter John Pommerville, BA, MD, FRCSC 280 Pale San Vitores Road, Tamuning, GU 96913 Ph: (671) 647-4542 |
Dr. Ann Fenton, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 341 S Marine Corps Dr, Suite 104, Tamuning, GU 96913 Phone: 671-989-1368 | |
Dr. Ramsey Neal Chichakli, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 543 Chalan Guma Yu'os, Tamuning, GU 96913 Phone: 671-649-4764 Fax: 671-649-4765 | |
Dr. Jim Nan Chen, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 241 Farenholt Ave Ste 202, Tamuning, GU 96913 Phone: 671-649-9693 |