| Dr Austin Lyle Parker, MD | |
|
881 Uss James Madison Rd, Nssc Undersea Medical Department, Kings Bay, GA 31547-2531 | |
| (912) 573-2995 | |
| (912) 573-4534 |
| Full Name | Dr Austin Lyle Parker |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 23 Years |
| Location | 881 Uss James Madison Rd, Kings Bay, Georgia |
| 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 |
|---|---|---|---|
| 1376513796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0101234675 (Virginia) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 0101234675 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Leigh Hospital | Norfolk, VA | Hospital |
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Kidney Specialists Inc | 6507852662 | 21 |
| Entity Name | Tidewater Kidney Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780624627 PECOS PAC ID: 6507852662 Enrollment ID: O20040519001509 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Austin Lyle Parker, MD Nmrtc Portsmouth - Nephrology Clinic, 620 John Paul Jones Circle, Portsmouth, VA 23708 Ph: (757) 953-2051 | Dr Austin Lyle Parker, MD 881 Uss James Madison Rd, Nssc Undersea Medical Department, Kings Bay, GA 31547-2531 Ph: (912) 573-2995 |
Dr. Richard Rhendyll Abitria, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 881 Uss James Madison Rd, Kings Bay, GA 31547 Phone: 904-571-1363 |