Keith B Gustafson, MD | |
138 S Rosemont Rd, Ste 215, Virginia Beach, VA 23452-4336 | |
(757) 431-9551 | |
(757) 431-9663 |
Full Name | Keith B Gustafson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 36 Years |
Location | 138 S Rosemont Rd, Virginia Beach, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851394795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 0101233342 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Smg Anesthesia Specialists Llc | 6305081118 | 184 |
Entity Name | Smg Anesthesia Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494 |
Mailing Address | Practice Location Address |
---|---|
Keith B Gustafson, MD 1349 Llewellyn Ave, Norfolk, VA 23517-2266 Ph: (757) 962-1114 | Keith B Gustafson, MD 138 S Rosemont Rd, Ste 215, Virginia Beach, VA 23452-4336 Ph: (757) 431-9551 |
Gary Jay Waxman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 816 Independence Blvd, Ste 2a, Virginia Beach, VA 23455 Phone: 757-363-6712 Fax: 757-363-6204 | |
Dr. Daphne Michelle Lenox, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 134 Business Park Dr, Virginia Beach, VA 23462 Phone: 757-473-0055 | |
Dr. Stephen Michael Bronaugh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 134 Business Park Dr, Virginia Beach, VA 23462 Phone: 757-473-0044 | |
Francis T Verfurth, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1060 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-395-8369 | |
George N Vretakis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 138 S Rosemont Rd, Ste 215, Virginia Beach, VA 23452 Phone: 757-431-9551 Fax: 757-431-9663 | |
Dr. Monford Wolf, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1975 Glenn Mitchell Dr, Suite 300, Virginia Beach, VA 23456 Phone: 757-507-0170 | |
Dr. Kristin Elizabeth Herbert, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3960 Virginia Beach Blvd, Virginia Beach, VA 23452 Phone: 757-668-4648 |