Dr Stephanie Ann Moody Antonio, MD | |
600 Gresham Dr, Suite 1100, Norfolk, VA 23507-1904 | |
(757) 388-6200 | |
(757) 388-6201 |
Full Name | Dr Stephanie Ann Moody Antonio |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 29 Years |
Location | 600 Gresham Dr, Norfolk, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366418956 | NPI | - | NPPES |
174750 | Other | VA | ANTHEM |
PAR | Other | VA | USA MANAGED CARE |
PAR | Other | VA | MULTIPLAN |
PAR | Other | VA | FIRST HEALTH COMMERCIAL |
067RG | Other | NC | BC/BS |
172403 | Other | VA | ANTHEM |
91377 | Other | VA | SENTARA OPTIMA |
PAR | Other | VA | VA PREMIER HEALTH |
PAR | Other | VA | CIGNA |
-004 | Other | VA | TRICARE/CHAMPUS |
010170095 | Medicaid | VA | |
PAR | Other | VA | VA HEALTH NETWORK |
PAR | Other | VA | CORVEL/CORCARE |
010118387 | Medicaid | VA | |
2129791 | Other | VA | UHC/MAMSI |
PAR | Other | VA | AETNA |
89067RG | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 0101237385 (Virginia) | Secondary |
207YX0901X | Otolaryngology - Otology & Neurotology | 0101237385 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evms Academic Physicians And Surgeons Health Services Foundation | 5698675510 | 191 |
Childrens Specialty Group Pllc | 5890788764 | 44 |
Entity Name | Evms Academic Physicians And Surgeons Health Services Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003887118 PECOS PAC ID: 5698675510 Enrollment ID: O20040304001377 |
Entity Name | Childrens Specialty Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephanie Ann Moody Antonio, MD Po Box 936, Norfolk, VA 23501-0936 Ph: (757) 388-6200 | Dr Stephanie Ann Moody Antonio, MD 600 Gresham Dr, Suite 1100, Norfolk, VA 23507-1904 Ph: (757) 388-6200 |
Benjamin Joseph Rubinstein, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Dr. Ashley Anders Schroeder, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Evms Medical Group, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
William M Dougherty, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Eric J Dobratz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Craig S. Derkay, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-9327 Fax: 757-668-9848 | |
Dr. Kent Kwok Kin Lam, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 |