Lucy Elena Defanti, | |
500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | |
(757) 594-2160 | |
Not Available |
Full Name | Lucy Elena Defanti |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 15 Years |
Location | 500 J Clyde Morris 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 |
---|---|---|---|
1497072664 | NPI | - | NPPES |
1497072664 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 0102204122 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Regional Medical Center | Newport news, VA | Hospital |
Riverside Walter Reed Hospital | Gloucester, VA | Hospital |
Riverside Shore Memorial Hospital | Onancock, VA | Hospital |
Riverside Doctors' Hospital Of Williamsburg | Williamsburg, VA | Hospital |
Sentara Williamsburg Regional Medical Center | Williamsburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peninsula Pathology Associates Incorporated | 2264496009 | 5 |
Entity Name | Peninsula Pathology Associates Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306834858 PECOS PAC ID: 2264496009 Enrollment ID: O20080703000273 |
Mailing Address | Practice Location Address |
---|---|
Lucy Elena Defanti, 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Lucy Elena Defanti, 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 Ph: (757) 594-2160 |
Dr. John Coulter Maddox, MD Pathology Medicare: Medicare Enrolled Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2160 | |
Dr. Carolyn Fawn O'connor, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2160 | |
Dr. David Michael Smith, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2160 | |
Jonathan Edwards, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 Phone: 240-678-5454 | |
Theresa S Emory, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-2160 | |
Dr. Warren Bowman Helwig, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 500 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-3160 |