Vincent Lee, MD | |
5516 Virginia Beach Blvd, Virginia Beach, VA 23462-5629 | |
(757) 473-3969 | |
Not Available |
Full Name | Vincent Lee |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 5516 Virginia Beach Blvd, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013062579 | NPI | - | NPPES |
7906203 | Other | NC | MEDICAID |
324289 | Other | VA | ANTHEM |
5813735 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101056940 (Virginia) | Primary |
Entity Name | Jencare Neighborhood Medical Center Virginia Beach Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770924789 PECOS PAC ID: 8921236167 Enrollment ID: O20140114001303 |
Entity Name | Pmr Virginia Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083167001 PECOS PAC ID: 9537576608 Enrollment ID: O20210408000505 |
Mailing Address | Practice Location Address |
---|---|
Vincent Lee, MD 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (757) 473-3969 | Vincent Lee, MD 5516 Virginia Beach Blvd, Virginia Beach, VA 23462-5629 Ph: (757) 473-3969 |
Haidr Agha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1157 First Colonial Rd, Ste 200, Virginia Beach, VA 23454 Phone: 757-623-0005 Fax: 757-389-5383 | |
Howard Courtenay Harrison Sr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 First Colonial Rd, Suite 101, Virginia Beach, VA 23454 Phone: 757-496-9020 Fax: 757-481-0638 | |
Dr. Sue Beth Hudson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 802 Newtown Rd, Virginia Beach, VA 23462 Phone: 757-497-0606 Fax: 757-497-0411 | |
Dr. Rosario Devera Hipol, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Independence Cir Ste 102, Virginia Beach, VA 23455 Phone: 757-499-6395 Fax: 757-499-8026 | |
Dr. Jonah Anyaogu Ulu Ezieme, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-395-2323 Fax: 757-827-2255 | |
Dr. James Richard Miller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454 Phone: 757-395-1760 Fax: 757-756-5148 |