Dr Tanner Miest, MD, PHD | |
229 Clearfield Ave Ste 300, Virginia Beach, VA 23462-1815 | |
(757) 457-5100 | |
(757) 961-3696 |
Full Name | Dr Tanner Miest |
---|---|
Gender | Male |
Speciality | Urology |
Location | 229 Clearfield Ave Ste 300, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194105379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 0101275139 (Virginia) | Primary |
208800000X | Urology | S6896 (Texas) | Secondary |
Entity Name | St Lukes Hospital Of Duluth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212 |
Mailing Address | Practice Location Address |
---|---|
Dr Tanner Miest, MD, PHD 225 Clearfield Ave, Virginia Beach, VA 23462-1815 Ph: (757) 457-5100 | Dr Tanner Miest, MD, PHD 229 Clearfield Ave Ste 300, Virginia Beach, VA 23462-1815 Ph: (757) 457-5100 |
Bruce A Rosenfeld, M.D. Urology Medicare: Medicare Enrolled Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-481-3556 Fax: 757-819-7762 | |
Adam M Luchey, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5100 Fax: 757-961-3696 | |
Dr. Alexander Birk, MD Urology Medicare: Medicare Enrolled Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5100 Fax: 757-961-3696 | |
Michael Brandon Williams, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5177 Fax: 757-452-3494 | |
Peter O. Kwong, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-452-3480 Fax: 757-452-3482 | |
Gregg R Eure, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-481-3556 Fax: 757-496-3865 |