| Adult And Pediatric Medical Associates, Pc | |
|
3800 Poplar Hill Rd Ste A Chesapeake VA 23321-5522 | |
| (757) 484-2001 | |
| (757) 484-2182 |
| Full Name | Adult And Pediatric Medical Associates, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3800 Poplar Hill Rd Ste A, Chesapeake, Virginia |
| Authorized Official Name and Position | Lukia Dewitt Beverly (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 7574842001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult And Pediatric Medical Associates, Pc 3800 Poplar Hill Rd Ste A Chesapeake VA 23321-5522 Ph: (757) 484-2001 | Adult And Pediatric Medical Associates, Pc 3800 Poplar Hill Rd Ste A Chesapeake VA 23321-5522 Ph: (757) 484-2001 |
| NPI Number | 1871709899 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 09/09/2011 |
| Medicare PECOS PAC ID | 4789669706 |
|---|---|
| Medicare Enrollment ID | O20040623000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871709899 | NPI | - | NPPES |
| 010060169 | Medicaid | VA | |
| 010060133 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101224920 (Virginia) | Primary |
| Provider Name | Vernis L Beverly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508821174 PECOS PAC ID: 0143205161 Enrollment ID: I20040623000018 |
| Provider Name | Lynette A Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669535951 PECOS PAC ID: 9537306444 Enrollment ID: I20131120001043 |
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