| Dr Deryk Christopher Sequeira, MD | |
|
1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | |
| (804) 828-2467 | |
| (804) 828-6662 |
| Full Name | Dr Deryk Christopher Sequeira |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 1401 Johnston Willis Dr, North Chesterfield, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124004452 | NPI | - | NPPES |
| 010082668 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 0101236265 (Virginia) | Primary |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deryk Christopher Sequeira, MD Po Box 91734, Richmond, VA 23291-1734 Ph: (804) 358-6100 | Dr Deryk Christopher Sequeira, MD 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 Ph: (804) 828-2467 |
Hollie Nicole Rhodes, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2612 Buford Rd Ste A, North Chesterfield, VA 23235 Phone: 804-806-3933 | |
Paola Andrea Ortega-rodriguez, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3914 Meadowdale Blvd, North Chesterfield, VA 23234 Phone: 804-447-3490 Fax: 804-447-3872 | |
Allison L Freeman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1459 Johnston Willis Dr, North Chesterfield, VA 23235 Phone: 804-794-9477 Fax: 804-794-1793 | |
Naishai R Herrin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3523 Oregon Oak Dr, North Chesterfield, VA 23234 Phone: 828-446-9308 | |
Dr. Eric Bernard Freeman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9323 Midlothian Tpke, Suite E, North Chesterfield, VA 23235 Phone: 804-212-1144 Fax: 804-320-3681 |