| Craig S Derkay, MD | |
|
601 Childrens Ln, Norfolk, VA 23507-1910 | |
| (757) 668-9327 | |
| (757) 668-9848 |
| Full Name | Craig S Derkay |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 601 Childrens Ln, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346290798 | NPI | - | NPPES |
| 890504N | Medicaid | NC | |
| 010165601 | Medicaid | VA | |
| 132251600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 0101043687 (Virginia) | Primary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 0101043687 (Virginia) | Secondary |
| Entity Name | Childrens Specialty Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig S Derkay, MD Po Box 79137, Baltimore, MD 21279-0137 Ph: (757) 668-7200 | Craig S Derkay, MD 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-9327 |
Benjamin Joseph Rubinstein, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Dr. Ashley Anders Schroeder, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Evms Medical Group, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
William M Dougherty, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Eric J Dobratz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Dr. Stephanie Ann Moody Antonio, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Suite 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Dr. Kent Kwok Kin Lam, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 |