Shahab M Ehtesham, MD | |
611 Trent St Ne, Norton, VA 24273-1533 | |
(276) 679-4200 | |
(276) 679-4230 |
Full Name | Shahab M Ehtesham |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 611 Trent St Ne, Norton, Virginia |
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 |
---|---|---|---|
1144283029 | NPI | - | NPPES |
010287669 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 32845 (Kentucky) | Secondary |
207R00000X | Internal Medicine | 0101225223 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pikeville Medical Center | Pikeville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pikeville Medical Center Inc | 6709790157 | 333 |
Entity Name | Pikeville Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528195864 PECOS PAC ID: 6709790157 Enrollment ID: O20040304001281 |
Mailing Address | Practice Location Address |
---|---|
Shahab M Ehtesham, MD Po Box 386, Wise, VA 24293 Ph: (276) 679-4200 | Shahab M Ehtesham, MD 611 Trent St Ne, Norton, VA 24273-1533 Ph: (276) 679-4200 |
Clayton Cavanaugh Davis, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 15th St Nw, Norton, VA 24273 Phone: 276-439-1000 | |
Dr. Brian Scott Newberry, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1490 Park Ave Nw, Suite 3, Norton, VA 24273 Phone: 276-679-8890 Fax: 276-679-9740 | |
Romulo Abrantes Fajardo, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 340 Anderson Hollow Rd, Norton, VA 24273 Phone: 276-679-5880 Fax: 276-679-9156 | |
Dr. Roy R Deel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 15th St Nw, Norton, VA 24273 Phone: 423-630-7001 | |
Shipeng Yu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 Commonwealth Dr, Norton, VA 24273 Phone: 276-679-0252 Fax: 276-679-6498 | |
Dr. Jody B. Bentley, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 96 15th St Nw, Suite 111, Norton, VA 24273 Phone: 276-439-1860 Fax: 276-439-1865 | |
Nicholas A. Cook, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 671 Highway 58 E, Norton, VA 24273 Phone: 276-679-5874 Fax: 276-679-6912 |