| Dr Anthony Michael Bevilacqua, DO | |
|
150 Burnetts Way, Ste. 100, Suffolk, VA 23434-8168 | |
| (757) 547-5145 | |
| (757) 539-7488 |
| Full Name | Dr Anthony Michael Bevilacqua |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 34 Years |
| Location | 150 Burnetts Way, Suffolk, 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 |
|---|---|---|---|
| 1912903998 | NPI | - | NPPES |
| 010163005 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2019-02810 (North Carolina) | Secondary |
| 207X00000X | Orthopaedic Surgery | 0102037163 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Prince At Home Llc | Suffolk, VA | Home health agency |
| Sentara Obici Hospital | Suffolk, VA | Hospital |
| Southampton Memorial Hospital | Franklin, VA | Hospital |
| Bon Secours Maryview Medical Center | Portsmouth, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sport Medicine And Orthopaedic Center Inc | 8921046616 | 28 |
| Sentara Medical Group | 8921903923 | 1200 |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Entity Name | Dominion Health Medical Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840 |
| Entity Name | Sport Medicine And Orthopaedic Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043246556 PECOS PAC ID: 8921046616 Enrollment ID: O20050422000382 |
| Entity Name | Rmh Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669844908 PECOS PAC ID: 7618270729 Enrollment ID: O20160125000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Michael Bevilacqua, DO 501 Discovery Dr, Chesapeake, VA 23320-3843 Ph: (757) 547-5145 | Dr Anthony Michael Bevilacqua, DO 150 Burnetts Way, Ste. 100, Suffolk, VA 23434-8168 Ph: (757) 547-5145 |
Aaron L Marlow, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-483-3075 | |
Michael Andrew Caines, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-483-3075 | |
Kraig S Graham, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 108, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-483-3075 | |
Jeffrey B Persons, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2012 Meade Pkwy, Suffolk, VA 23434 Phone: 757-673-5680 Fax: 757-539-5735 | |
Ernesto Luciano-perez, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-483-3075 | |
Dr. Bryan Alan Fox, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Burnetts Way, Ste. 100, Suffolk, VA 23434 Phone: 757-547-5145 | |
Wayne T Johnson, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-397-0236 |