Mark J Hippenstiel, MD | |
534 Caratoke Hwy, Moyock, NC 27958-8740 | |
(252) 435-6621 | |
Not Available |
Full Name | Mark J Hippenstiel |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 34 Years |
Location | 534 Caratoke Hwy, Moyock, North Carolina |
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 |
---|---|---|---|
1265497838 | NPI | - | NPPES |
5607205 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101226438 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Compassionate Care Hospice | Chesapeake, VA | Hospice |
Westminster-canterbury At Home Llc | Virginia beach, VA | Hospice |
Oak Grove Health & Rehab Center, Llc | Chesapeake, VA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Care Llc | 0042458200 | 61 |
Entity Name | Chesapeake Regional Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699940270 PECOS PAC ID: 8426113663 Enrollment ID: O20090223000187 |
Entity Name | Legacy Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902149776 PECOS PAC ID: 0042458200 Enrollment ID: O20130529000542 |
Entity Name | Legacy Care Aco Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538844857 PECOS PAC ID: 3274996426 Enrollment ID: O20230906000290 |
Mailing Address | Practice Location Address |
---|---|
Mark J Hippenstiel, MD Po Box 758963, Baltimore, MD 21275-8963 Ph: (804) 822-4355 | Mark J Hippenstiel, MD 534 Caratoke Hwy, Moyock, NC 27958-8740 Ph: (252) 435-6621 |
Nitish Jasmine Manning, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 534 Caratoke Hwy, Moyock, NC 27958 Phone: 252-435-6621 Fax: 235-435-2685 | |
Rose Gunter Suaava, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 446 Caratoke Hwy, Moyock, NC 27958 Phone: 252-435-1275 Fax: 855-348-4480 |