Michael Edwin Fenton, MD | |
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | |
(757) 953-5000 | |
Not Available |
Full Name | Michael Edwin Fenton |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 27 Years |
Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033183264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | M-1810 (Guam) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 00022516 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ybl Pllc | 5395929392 | 4 |
Pacific Radiology Inc A Professional Corporation | 9830161546 | 3 |
Entity Name | General Conference Corp Of Sda |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586877 PECOS PAC ID: 6608777628 Enrollment ID: O20040114000187 |
Entity Name | Ybl Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295057503 PECOS PAC ID: 5395929392 Enrollment ID: O20120413000671 |
Entity Name | Takecare Insurance Company Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972565240 PECOS PAC ID: 8325951239 Enrollment ID: O20140918000062 |
Entity Name | Pacific Radiology Inc A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023230752 PECOS PAC ID: 9830161546 Enrollment ID: O20181023003439 |
Mailing Address | Practice Location Address |
---|---|
Michael Edwin Fenton, MD 8978 River Cres, Suffolk, VA 23433-1110 Ph: (757) 238-8485 | Michael Edwin Fenton, MD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-5000 |
Alexander F Kelley, DO Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3029 | |
Dr. Glenn Andrew Rauscher, DO Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-0669 | |
Eric Palmer Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-7550 | |
Dr. Christopher Dac Nguyen, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1143 | |
Dr. Andre Chartier, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1128 | |
Cameron Richardson Kendall, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-0669 |