| Edilberto Olarte Pelausa, MD | |
|
2000 Meade Parkway, Suffolk, VA 23434-4259 | |
| (757) 539-0251 | |
| (757) 934-9421 |
| Full Name | Edilberto Olarte Pelausa |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 2000 Meade Parkway, Suffolk, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649236233 | NPI | - | NPPES |
| 890519M | Medicaid | NC | |
| 6500218 | Medicaid | VA | |
| 02857505 | Medicaid | NY | |
| 040015729 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 0101057813 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edilberto Olarte Pelausa, MD Po Box 7068, Portsmouth, VA 23707-0068 Ph: (757) 686-3508 | Edilberto Olarte Pelausa, MD 2000 Meade Parkway, Suffolk, VA 23434-4259 Ph: (757) 539-0251 |
Lorenz Frederick Lassen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2000 Meade Parkway, Suffolk, VA 23434 Phone: 757-539-0251 Fax: 757-934-9421 | |
Pierre Thomas Martin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5818 Harbour View Blvd, Suite 230, Suffolk, VA 23435 Phone: 757-673-6118 Fax: 757-967-9003 |