| David F Waller, MD | |
|
4868 Bridge Rd, Suite 300, Suffolk, VA 23435-2048 | |
| (757) 483-7100 | |
| (757) 483-7150 |
| Full Name | David F Waller |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4868 Bridge Rd, Suffolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518966688 | NPI | - | NPPES |
| 005623260 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101047125 (Virginia) | Primary |
| Entity Name | Bayview Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813387 PECOS PAC ID: 5597664201 Enrollment ID: O20031231000719 |
| Mailing Address | Practice Location Address |
|---|---|
| David F Waller, MD 4868 Bridge Rd, Suite 300, Suffolk, VA 23435-2048 Ph: (757) 483-7100 | David F Waller, MD 4868 Bridge Rd, Suite 300, Suffolk, VA 23435-2048 Ph: (757) 483-7100 |
Dr. Quan Vu Hong Dao, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 148 Burnetts Way Ste 107, Suffolk, VA 23434 Phone: 757-738-1375 | |
Mokhtar O Morgan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 Hillpoint Blvd N, Suffolk, VA 23434 Phone: 757-934-3434 Fax: 757-538-9038 | |
Dr. Roger Guy Allen Lever, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Godwin Blvd Fl 1, Suffolk, VA 23434 Phone: 757-934-4821 Fax: 757-934-4276 | |
Linda Kay Frey, N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2019 Meade Pkwy, Suffolk, VA 23434 Phone: 757-923-1060 Fax: 757-923-1068 | |
Margie Pantangco Pascual, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5818-d Harbour View Blvd, Suite 250, Suffolk, VA 23435 Phone: 757-673-5890 Fax: 757-673-5946 | |
James Bauss Harding, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2760 Godwin Blvd Ste 100, Suffolk, VA 23434 Phone: 757-983-8650 | |
Jessica Lynne Bernens, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5833 Harbour View Blvd Ste B, Suffolk, VA 23435 Phone: 757-337-4018 Fax: 757-337-4019 |