Timothy Powell, MD | |
500 J Clyde Morris Blvd Ste 500, Newport News, VA 23601-1929 | |
(757) 873-1374 | |
(757) 873-1612 |
Full Name | Timothy Powell |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 25 Years |
Location | 500 J Clyde Morris Blvd Ste 500, Newport News, 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 |
---|---|---|---|
1316168990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 125-043865 (Illinois) | Secondary |
208800000X | Urology | 0101241847 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Regional Medical Center | Newport news, VA | Hospital |
Riverside Walter Reed Hospital | Gloucester, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverside Physician Services Inc | 5092608448 | 738 |
Entity Name | Riverside Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
---|---|
Timothy Powell, MD 856 J Clyde Morris Blvd Ste A, Newport News, VA 23601-1318 Ph: (757) 316-5800 | Timothy Powell, MD 500 J Clyde Morris Blvd Ste 500, Newport News, VA 23601-1929 Ph: (757) 873-1374 |
Eric Darby, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd Ste 107, Newport News, VA 23606 Phone: 757-873-2562 Fax: 757-873-2570 | |
Geoffrey B Kostiner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd, Suite # 205, Newport News, VA 23606 Phone: 757-873-2562 Fax: 757-873-2570 | |
Dr. Nizar Bou Diab, MD Urology Medicare: Medicare Enrolled Practice Location: 500 J Clyde Morris Blvd, Suite 500, Newport News, VA 23601 Phone: 757-873-1374 | |
Brianna Joy Mchugh, PA-C Urology Medicare: Medicare Enrolled Practice Location: 11803 Jefferson Ave Ste 100, Newport News, VA 23606 Phone: 757-594-1850 Fax: 757-594-1841 | |
Henry Menton Prillaman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11848 Rock Landing Dr, Suite 402, Newport News, VA 23606 Phone: 757-873-1374 Fax: 757-466-1312 | |
David Hartke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd, Suite 205, Newport News, VA 23606 Phone: 757-873-2562 Fax: 757-873-2570 |