| Lifephysician, Llc | |
|
999 Waterside Dr Ste 2525 Norfolk VA 23510-3316 | |
| (925) 824-3198 | |
| (949) 655-8602 |
| Full Name | Lifephysician, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 999 Waterside Dr Ste 2525, Norfolk, Virginia |
| Authorized Official Name and Position | Amanda V. Chance (OWNER) |
| Authorized Official Contact | 6462511992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifephysician, Llc 5030 E Lakeshore Dr San Ramon CA 94582-4822 Ph: (646) 251-1992 | Lifephysician, Llc 999 Waterside Dr Ste 2525 Norfolk VA 23510-3316 Ph: (925) 824-3198 |
| NPI Number | 1194336313 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Medicare PECOS PAC ID | 7618366527 |
|---|---|
| Medicare Enrollment ID | O20211116000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194336313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amanda Victoria Chance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063672988 PECOS PAC ID: 0446428114 Enrollment ID: I20110725000099 |
Velocity Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1326 E Little Creek Rd, Norfolk, VA 23518 Phone: 757-772-6122 Fax: 757-267-9194 | |
Long Term Care Of Tidewater Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502 Phone: 757-917-5356 Fax: 757-917-5141 | |
E Haque Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Kingsley Ln, Suite 209, Norfolk, VA 23505 Phone: 757-489-3911 | |
Bon Secours Ghent Station Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 W 21st St Ste 100, Norfolk, VA 23517 Phone: 757-622-8358 Fax: 757-622-9662 | |
Hendon Family Chiropractic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 957 W 21st St Ste F, Norfolk, VA 23517 Phone: 757-305-9996 | |
Bruce J Kleiman Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 533 Front St Apt 203, Norfolk, VA 23510 Phone: 757-685-6151 Fax: 757-961-8385 | |
Medical Care Plus, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6204 N Military Hwy, Norfolk, VA 23518 Phone: 757-855-1900 Fax: 757-855-2272 |