Jose F Demoya, MD | |
1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | |
(434) 584-5436 | |
(434) 584-5495 |
Full Name | Jose F Demoya |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1755 N Mecklenburg Ave, South Hill, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578644373 | NPI | - | NPPES |
DE8368 | Other | VA | RR MEDICARE |
6344131 | Other | VA | CIGNA |
1578644373 | Medicaid | VA | |
890632P | Medicaid | NC | |
257234600 | Medicaid | FL | |
348505 | Other | VA | ANTHEM BCBS |
784825 | Other | VA | SOUTHERN HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME-53184 (Florida) | Secondary |
208600000X | Surgery | 0101053710 (Virginia) | Primary |
Entity Name | Cmh Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
Mailing Address | Practice Location Address |
---|---|
Jose F Demoya, MD Po Box 623, South Hill, VA 23970-0623 Ph: (434) 584-5436 | Jose F Demoya, MD 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 Ph: (434) 584-5436 |
Dr. Yi Wei Zhang, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 416 Durant St, South Hill, VA 23970 Phone: 434-774-2581 Fax: 434-447-4075 | |
Dr. Desiderio J Rimon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-584-5436 Fax: 434-584-5495 | |
Mr. Kedar Sudhakar Lavingia, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-584-5412 Fax: 434-584-5579 | |
Michael John Tozzi, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 416 Bracey Ln, South Hill, VA 23970 Phone: 434-447-4736 Fax: 434-447-4810 |