Maryetta Ashley Reese, PA is a medicare enrolled "Physician Assistant" physician in Norfolk, Virginia. Her current practice location is
301 Riverview Ave Ste 700, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 252-9365.
Maryetta Ashley Reese is licensed to practice in Virginia (license number 0110008369) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568102952.
Physician's Profile
| Full Name | Maryetta Ashley Reese |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 301 Riverview Ave Ste 700, Norfolk, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568102952
- Provider Enumeration Date: 04/01/2022
- Last Update Date: 07/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204210792
- Enrollment ID: I20230828000369
Medical Identifiers
Medical identifiers for Maryetta Ashley Reese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568102952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 0110008369 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 0110008369 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110008369 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maryetta Ashley Reese is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Maryetta Ashley Reese, PA
301 Riverview Ave Ste 700,
Norfolk, VA 23510-1065
Ph: (757) 252-9365 | Maryetta Ashley Reese, PA
301 Riverview Ave Ste 700,
Norfolk, VA 23510-1065
Ph: (757) 252-9365 |
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