| Jennifer L Wiebke, MD | |
|
601 Childrens Ln, Norfolk, VA 23507-1910 | |
| (757) 668-9466 | |
| (757) 668-7198 |
| Full Name | Jennifer L Wiebke |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Pulmonology |
| Location | 601 Childrens Ln, Norfolk, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841398229 | NPI | - | NPPES |
| 1801861 | Medicaid | LA | |
| 2655158 | Medicaid | OH | |
| 100177350 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080S0012X | Pediatrics - Sleep Medicine | 0101254409 (Virginia) | Secondary |
| 2080P0214X | Pediatrics - Pediatric Pulmonology | 0101254409 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Wiebke, MD 811 Redgate Ave, Norfolk, VA 23507-1515 Ph: (757) 668-7874 | Jennifer L Wiebke, MD 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-9466 |
Joshua Wayne Gollub, Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7000 | |
Stephen C. Restaino, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7179 Fax: 757-668-9810 | |
Michael Lee Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255 | |
Phyllis R. Hope, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255 | |
Linda D Pegram, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7007 Fax: 757-668-8658 | |
Ernette Yvonne Benson-foulk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6345 Center Dr, Building 14, Norfolk, VA 23502 Phone: 757-461-4027 Fax: 757-461-8821 | |
Monica G Baker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255 |