Kristi Vergena Mizelle, MD | |
704 Thimble Shoals Blvd, Bldg. 300 A, Newport News, VA 23606-4544 | |
(757) 595-4300 | |
(757) 591-9297 |
Full Name | Kristi Vergena Mizelle |
---|---|
Gender | Female |
Speciality | Rheumatology |
Experience | 19 Years |
Location | 704 Thimble Shoals Blvd, Newport News, 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 |
---|---|---|---|
1457490955 | NPI | - | NPPES |
051642200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | D73504 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Walter Reed Hospital | Gloucester, VA | Hospital |
Riverside Regional Medical Center | Newport news, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tidewater Physicians Multispecialty Group Pc | 2860398526 | 252 |
Entity Name | Tidewater Physicians Multispecialty Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
Mailing Address | Practice Location Address |
---|---|
Kristi Vergena Mizelle, MD 860 Omni Blvd, Suite 303, Newport News, VA 23606-4430 Ph: (757) 232-8769 | Kristi Vergena Mizelle, MD 704 Thimble Shoals Blvd, Bldg. 300 A, Newport News, VA 23606-4544 Ph: (757) 595-4300 |
Carl Anthony Gibson, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 12200 Warwick Blvd, Suite 590b, Newport News, VA 23601 Phone: 757-534-5909 Fax: 757-534-5911 | |
Dr. Megan Brooke Mcgavern, D.O. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 12652 Jefferson Ave, Newport News, VA 23602 Phone: 757-234-4285 Fax: 757-234-4260 | |
Dr. Ajay S Rathore, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 739 Thimble Shoals Blvd, Newport News, VA 23606 Phone: 757-873-1009 Fax: 757-873-7689 | |
Muhammad Z Rizwan, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 12200 Warwick Blvd Ste 290, Newport News, VA 23601 Phone: 757-534-5454 | |
Dr. Edward S Pak, DO Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 12200 Warwick Blvd Ste 290, Newport News, VA 23601 Phone: 757-534-5454 Fax: 757-534-5491 | |
Dr. Ashutosh Subhash Naniwadekar, MBBS Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 101 Philip Roth St # 5a, Newport News, VA 23606 Phone: 757-599-6333 | |
Dr. Hemchand Ramberan, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 12200 Warwick Blvd Ste 490, Newport News, VA 23601 Phone: 757-599-6333 Fax: 757-591-7261 |