| Anthony John Derosa, MD | |
|
860 Omni Blvd, Suite 201, Newport News, VA 23606-4430 | |
| (757) 223-5321 | |
| (757) 223-7271 |
| Full Name | Anthony John Derosa |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 34 Years |
| Location | 860 Omni Blvd, Newport News, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235134214 | NPI | - | NPPES |
| 10057 | Other | VI | OPTIMA |
| 242760 | Other | VI | ANTHEM BC/BS |
| 890588L | Other | NC | NC MEDICAID |
| 6304991 | Medicaid | VA | |
| 180035098 | Other | VA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 0101056744 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours Mary Immaculate Hospital | Newport news, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Physicians Multispecialty Group Pc | 2860398526 | 253 |
| Entity Name | Tidewater Physicians Multispecialty Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony John Derosa, MD 860 Omni Blvd, Suite 303, Newport News, VA 23606-4430 Ph: (757) 232-8769 | Anthony John Derosa, MD 860 Omni Blvd, Suite 201, Newport News, VA 23606-4430 Ph: (757) 223-5321 |
Andrew W Lewis, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 11800 Rock Landing Dr, Newport News, VA 23606 Phone: 757-643-8800 Fax: 757-643-8919 | |
John Frederick Frantz Ii, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 12420 Warwick Blvd, Suite 1d, Newport News, VA 23606 Phone: 757-599-0700 Fax: 757-594-5207 | |
Dr. Laura Kueny, MD Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 12420 Warwick Blvd Ste 1d, Newport News, VA 23606 Phone: 757-596-3806 | |
Hugh E Berckmueller, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 704 Thimble Shoals Blvd, #100, Newport News, VA 23606 Phone: 757-595-8404 Fax: 757-595-8353 | |
Robert Gregory Elgin, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 11800 Rock Landing Dr, Newport News, VA 23606 Phone: 757-643-8800 Fax: 757-643-8919 | |
Mary Ellen Cullom, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 11800 Rock Landing Dr, Newport News, VA 23606 Phone: 757-643-8800 Fax: 757-643-8919 |