| Phaik Mae Obermeyer Md Pllc | |
|
840 First Colonial Rd Ste 101 Virginia Beach VA 23451-6106 | |
| (757) 321-6142 | |
| (757) 321-6145 |
| Full Name | Phaik Mae Obermeyer Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 840 First Colonial Rd Ste 101, Virginia Beach, Virginia |
| Authorized Official Name and Position | Phaik Mae Obermeyer (PHYSICIAN / OWNER) |
| Authorized Official Contact | 7573756350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phaik Mae Obermeyer Md Pllc 840 First Colonial Rd Ste 101 Virginia Beach VA 23451-6106 Ph: (757) 321-6142 | Phaik Mae Obermeyer Md Pllc 840 First Colonial Rd Ste 101 Virginia Beach VA 23451-6106 Ph: (757) 321-6142 |
| NPI Number | 1770169401 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 03/23/2021 |
| Medicare PECOS PAC ID | 0345640926 |
|---|---|
| Medicare Enrollment ID | O20210618001442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770169401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Phaik Mae Obermeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831163682 PECOS PAC ID: 2264450469 Enrollment ID: I20051107000268 |
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