Dr Supakunya Edmonson, DO | |
Uss Enterprise, Medical Dept, Norfolk, VA 23551-0001 | |
(757) 444-8632 | |
Not Available |
Full Name | Dr Supakunya Edmonson |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 20 Years |
Location | Uss Enterprise, 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 |
---|---|---|---|
1366420853 | NPI | - | NPPES |
C06778 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS9620 (Florida) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 0102201767 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Aco Clinical Services Inc | 6901188572 | 73 |
Mercy Aco Clinical Services Inc | 6901188572 | 73 |
Entity Name | Bon Secours St Marys Hospital Of Richmond Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962464016 PECOS PAC ID: 8527969476 Enrollment ID: O20040324000566 |
Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
Entity Name | Mercy Aco Clinical Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20221214000388 |
Mailing Address | Practice Location Address |
---|---|
Dr Supakunya Edmonson, DO 1714 Pompey St, Virginia Beach, VA 23464-6514 Ph: () - | Dr Supakunya Edmonson, DO Uss Enterprise, Medical Dept, Norfolk, VA 23551-0001 Ph: (757) 444-8632 |
Peter M Dozier, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-8866 Fax: 757-668-8870 | |
Dr. Crystal Miller Proud, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 850 Southampton Ave, Norfolk, VA 23510 Phone: 757-668-9920 Fax: 757-668-9930 | |
James Richard Wyant, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 8610, Norfolk, VA 23507 Phone: 757-252-9015 Fax: 757-510-9041 | |
Dr. Paul A Sayegh, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 825 Fairfax Ave, Suite 710, Norfolk, VA 23507 Phone: 757-446-5888 Fax: 757-446-5918 | |
Dr. Jerry H Morewitz, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 825 Fairfax Ave, Suite 710, Norfolk, VA 23507 Phone: 757-446-5888 Fax: 757-446-5918 | |
Dr. C. Arthur Nalls Iii, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6353 Center Drive, Ste 204, Norfolk, VA 23502 Phone: 757-461-3313 Fax: 757-461-8363 | |
Justin D Petri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 825 Fairfax Ave, Suite 710, Norfolk, VA 23507 Phone: 757-446-5888 Fax: 757-446-5918 |