| Tidewater Integrative Health Pc | |
|
802 North Newtown Rd Virginia Beach VA 23462-1116 | |
| (757) 497-0606 | |
| (757) 497-0411 |
| Full Name | Tidewater Integrative Health Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 802 North Newtown Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Walter Kevin Hunt (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7574970606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Integrative Health Pc 802 North Newtown Rd Virginia Beach VA 23462-1116 Ph: (757) 497-0606 | Tidewater Integrative Health Pc 802 North Newtown Rd Virginia Beach VA 23462-1116 Ph: (757) 497-0606 |
| NPI Number | 1710293212 |
|---|---|
| Provider Enumeration Date | 08/23/2010 |
| Last Update Date | 11/19/2013 |
| Medicare PECOS PAC ID | 5890810501 |
|---|---|
| Medicare Enrollment ID | O20100918000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710293212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101035294 (Virginia) | Primary |
| Provider Name | Sue Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013902329 PECOS PAC ID: 6406971167 Enrollment ID: I20100917000764 |
| Provider Name | Tiffany R Dicenso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124321120 PECOS PAC ID: 1951541341 Enrollment ID: I20130708000679 |
Accurate Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Doncaster Rd, Virginia Beach, VA 23452 Phone: 757-289-4035 Fax: 757-497-8737 | |
Renewed Minds Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1728 Virginia Beach Blvd, Suite 114, Virginia Beach, VA 23454 Phone: 757-546-4494 | |
Ucfa Physicians Network Group Of Virginia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Commonwealth Pl, Virginia Beach, VA 23464 Phone: 423-271-9911 | |
Five Star Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4867 Baxter Rd Ste 105, Virginia Beach, VA 23462 Phone: 757-473-9300 Fax: 757-473-9361 | |
Glenn R. Mcdermott, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1788 Republic Rd, Suite 400, Virginia Beach, VA 23454 Phone: 757-343-4221 | |
Oceana Sports Medicine And Orthopaedic Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1232 Perimeter Pkwy Ste 205, Virginia Beach, VA 23454 Phone: 757-448-5451 | |
Sentara Family Medicine Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2017 Pleasure House Rd, Virginia Beach, VA 23455 Phone: 757-318-6900 Fax: 757-318-6901 |