| Dr Anthony John Distasio Ii, MD | |
|
600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 | |
| (757) 388-5680 | |
| (757) 388-5681 |
| Full Name | Dr Anthony John Distasio Ii |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 40 Years |
| Location | 600 Gresham Dr Ste 204, Norfolk, 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 |
|---|---|---|---|
| 1831195353 | NPI | - | NPPES |
| 007306091 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 0101041449 (Virginia) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 0101041449 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Albemarle Medical Center | Elizabeth city, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Albemarle Physician Services - Sentara Inc | 8729139852 | 54 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Albemarle Physician Services - Sentara Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942443130 PECOS PAC ID: 8729139852 Enrollment ID: O20090630000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony John Distasio Ii, MD 600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 Ph: (757) 388-5680 | Dr Anthony John Distasio Ii, MD 600 Gresham Dr Ste 204, Norfolk, VA 23507-1904 Ph: (757) 388-5680 |
Dr. John A Williamson, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr, Ste 204, Norfolk, VA 23507 Phone: 757-388-5680 Fax: 757-388-5681 | |
Harvey Sheldon St. Clair, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 171 Kempsville Rd, Building A, Norfolk, VA 23502 Phone: 757-668-6550 Fax: 757-668-6544 | |
Mark Andrew Bewley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6160 Kempsville Cir, Suite 200b, Norfolk, VA 23502 Phone: 757-321-3300 Fax: 757-321-3332 | |
Christopher Jackson, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 171 Kempsville Rd Ste 201, Norfolk, VA 23502 Phone: 757-668-6550 | |
Dr. Christopher Karrer Hersh, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6160 Kempsville Cir, Suite 102a, Norfolk, VA 23502 Phone: 757-461-8300 Fax: 757-461-8967 | |
Dr. Stephen H. Mccoy, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 830 Southampton Ave, Norfolk, VA 23510 Phone: 757-446-0366 | |
John James Mcguigan Jr., BS, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 104, Norfolk, VA 23502 Phone: 757-252-5600 Fax: 757-226-0157 |