Joselin D Tacastacas, MD | |
1601 Commonwealth Ave, Williamsburg, VA 23185-5125 | |
(757) 259-9466 | |
(757) 259-7907 |
Full Name | Joselin D Tacastacas |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 30 Years |
Location | 1601 Commonwealth Ave, Williamsburg, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184673295 | NPI | - | NPPES |
177346 | Other | VA | BLUE CROSS |
VA0105 | Other | VA | JOHN DEERE |
010087000 | Other | FEDERAL BLACK LUNG | |
010110831 | Medicaid | VA | |
010110866 | Medicaid | VA | |
010158192 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 010236219 (Virginia) | Secondary |
207R00000X | Internal Medicine | MD28115 (Oregon) | Secondary |
207N00000X | Dermatology | 0101236219 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peninsula Dermatology Skin Cancer Surgery Center, Inc | 4486749223 | 9 |
Entity Name | Peninsula Dermatology Skin Cancer Surgery Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063524593 PECOS PAC ID: 4486749223 Enrollment ID: O20071009000186 |
Mailing Address | Practice Location Address |
---|---|
Joselin D Tacastacas, MD 11844 Rock Landing Dr Ste B, Newport News, VA 23606-4206 Ph: (757) 873-0161 | Joselin D Tacastacas, MD 1601 Commonwealth Ave, Williamsburg, VA 23185-5125 Ph: (757) 259-9466 |
Zantha Christine Marcuson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1601 Commonwealth Ave, Williamsburg, VA 23185 Phone: 757-259-9466 Fax: 757-259-7907 | |
Lauren Barnes, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4808 Courthouse St Ste 102, Williamsburg, VA 23188 Phone: 757-622-6315 Fax: 757-622-7022 | |
Dr. Natalia Mendoza, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 207 Bulifants Blvd Ste C, Williamsburg, VA 23188 Phone: 757-622-6315 Fax: 757-622-7022 | |
Dr. Anh K Pham, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 207 Bulifants Blvd Ste C, Williamsburg, VA 23188 Phone: 757-622-6315 Fax: 757-622-7022 |