Landon Funiciello, MD | |
600 Gresham Dr, Norfolk, VA 23507-1904 | |
(757) 388-3000 | |
Not Available |
Full Name | Landon Funiciello |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 600 Gresham Dr, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538665252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2085R0202X | Radiology - Diagnostic Radiology | 0101277332 (Virginia) | Primary |
Entity Name | Medical Center Radiologists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720079254 PECOS PAC ID: 5395640650 Enrollment ID: O20031201000544 |
Mailing Address | Practice Location Address |
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Landon Funiciello, MD Po Box 890941, Charlotte, NC 28289-0941 Ph: (800) 475-6112 | Landon Funiciello, MD 600 Gresham Dr, Norfolk, VA 23507-1904 Ph: (757) 388-3000 |
Dr. Kevin Halista, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 110 Kingsley Ln, Suite 305, Norfolk, VA 23505 Phone: 804-262-6900 | |
Dr. Julie Anne Krumreich, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 218 E 42nd St, Norfolk, VA 23504 Phone: 757-963-6713 | |
Norbertina L Banson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 835 Glenrock Rd, Ste 100a, Norfolk, VA 23502 Phone: 757-252-3370 Fax: 757-252-3225 | |
Mark Cockerill, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5422 Fax: 757-889-5450 | |
Dr. Marc L Pessar, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 850 Kempsville Rd, Norfolk, VA 23502 Phone: 757-466-5910 Fax: 757-466-5748 | |
Hassan Elzein, DO Radiology Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-466-0089 Fax: 757-466-8017 | |
Dr. Suraj Jaisinghani, MD Radiology Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 585-922-2932 |