Mr Larry Howard Kagan, MD | |
1016 Justis St, Chesapeake, VA 23325 | |
(757) 420-8297 | |
(757) 523-5639 |
Full Name | Mr Larry Howard Kagan |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1016 Justis St, Chesapeake, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326052986 | NPI | - | NPPES |
5619165 | Medicaid | VA | |
011785 | Other | ANTHEM | |
11018 | Other | SENTARA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101032171 (Virginia) | Primary |
Entity Name | Tidewater Physicians Multispecialty Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
Mailing Address | Practice Location Address |
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Mr Larry Howard Kagan, MD 1016 Justis St, Chesapeake, VA 23325 Ph: (757) 420-8297 | Mr Larry Howard Kagan, MD 1016 Justis St, Chesapeake, VA 23325 Ph: (757) 420-8297 |
Barbara D. Lis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1239 Cedar Rd, Chesapeake, VA 23322 Phone: 757-549-9935 | |
Clare Margaret Mundy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 648 Grassfield Pkwy Ste 1, Chesapeake, VA 23322 Phone: 757-312-6797 | |
William Patrick Strong, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3925 Portsmouth Blvd, Chesapeake, VA 23321 Phone: 757-760-3035 | |
Jeannine M Leadbeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3241 Western Branch Blvd, Chesapeake, VA 23321 Phone: 757-686-3508 Fax: 757-686-0541 | |
Dr. Darlene Racquel Oduyelu, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Crossways Blvd Ste 114, Chesapeake, VA 23320 Phone: 757-953-6366 Fax: 757-953-6056 | |
David J Zelinskas, DO, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 Justis St., Chesapeake, VA 23325 Phone: 757-420-8297 | |
Sulekha Ray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 113 Gainsborough Sq Ste 201, Chesapeake, VA 23320 Phone: 757-410-8745 Fax: 757-410-8746 |