Dylan Woolum, MD | |
Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | |
(757) 388-3397 | |
Not Available |
Full Name | Dylan Woolum |
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Gender | Male |
Speciality | Emergency Medicine |
Location | Raleigh Building, Suite 304, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619439460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 0101274701 (Virginia) | Primary |
Entity Name | Emergency Physicians Of Tidewater |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033136841 PECOS PAC ID: 5092618462 Enrollment ID: O20040202000195 |
Mailing Address | Practice Location Address |
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Dylan Woolum, MD 3930 Aeries Way, Virginia Beach, VA 23455-1552 Ph: () - | Dylan Woolum, MD Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 Ph: (757) 388-3397 |
Ruth Gordon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6379 Center Dr, Norfolk, VA 23502 Phone: 757-467-4200 | |
Miss Kaci Elizabeth Gogel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Rm 304, Emergency Department, Norfolk, VA 23507 Phone: 757-388-3397 Fax: 757-388-2885 | |
Dr. Benjamin Lee Chidester, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Gresham Drive, Norfolk, VA 23507 Phone: 757-388-3000 | |
Dr. Moses Tucker Laffitte Iv, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Gresham Drive, Norfolk, VA 23507 Phone: 757-388-3000 | |
Theodore Tzavaras, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Suite 304, Norfolk, VA 23507 Phone: 757-388-3397 | |
Ronald Christopher Fenton, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1775 Forrestal Drive Bldg Nh-33, Norfolk, VA 23551 Phone: 757-953-1552 | |
Dr. Clay Kingsley Lifton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Raleigh Building Room 304, Norfolk, VA 23507 Phone: 757-388-3397 |