| Mark Jason Moan, | |
|
1975 Glenn Mitchell Dr Ste 101, Virginia Beach, VA 23456-0167 | |
| (757) 507-0015 | |
| Not Available |
| Full Name | Mark Jason Moan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1975 Glenn Mitchell Dr Ste 101, 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 |
|---|---|---|---|
| 1730836818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
| Provider Name | Sentara Therapy Solutions Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316590789 PECOS PAC ID: 8325370380 Enrollment ID: O20191024002682 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Jason Moan, 1975 Glenn Mitchell Dr Ste 101, Virginia Beach, VA 23456-0167 Ph: () - | Mark Jason Moan, 1975 Glenn Mitchell Dr Ste 101, Virginia Beach, VA 23456-0167 Ph: (757) 507-0015 |
Celso Chavez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 Lake Havasu Dr, Virginia Beach, VA 23454 Phone: 609-381-9803 | |
Janice Anne Barrera, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5301 Providence Rd, Suite 80, Virginia Beach, VA 23464 Phone: 757-467-1900 Fax: 757-467-7900 | |
Lindsey Pauley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4668 Pembroke Blvd Ste 115, Virginia Beach, VA 23455 Phone: 577-648-8562 Fax: 757-648-8564 | |
Mrs. Keyuri S Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 Phone: 757-995-2700 Fax: 757-995-2701 | |
Haygood Physical Therapy, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 Independence Blvd, Virginia Beach, VA 23455 Phone: 757-460-1809 | |
Ms. Judith M Anderson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 818 Newtown Rd, Virginia Beach, VA 23462 Phone: 757-473-8016 Fax: 757-473-3580 | |
Wendy Bryant, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 South Blvd, 310, Virginia Beach, VA 23452 Phone: 757-490-3223 |