| Dr Edward Skillen, DO | |
|
5838 Harbour View Blvd, Suite 270, Suffolk, VA 23435-2663 | |
| (757) 541-1050 | |
| (757) 541-1097 |
| Full Name | Dr Edward Skillen |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 5838 Harbour View Blvd, 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 |
|---|---|---|---|
| 1639198872 | NPI | - | NPPES |
| 6030335 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 0102035405 (Virginia) | Primary |
| Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Skillen, DO 5838 Harbour View Blvd, Suite 270, Suffolk, VA 23435-2663 Ph: (757) 541-1050 | Dr Edward Skillen, DO 5838 Harbour View Blvd, Suite 270, Suffolk, VA 23435-2663 Ph: (757) 541-1050 |
Dr. James J Stark, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5835 Harbour View Blvd, Suite C, Suffolk, VA 23435 Phone: 757-397-4200 Fax: 757-397-3872 | |
Dr. Harish V Iyer, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suite 200, Suffolk, VA 23435 Phone: 757-483-6100 Fax: 757-483-2203 | |
Mrs. Zia Ann Khould, CNP Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 5839 Harbour View Blvd, Suffolk, VA 23435 Phone: 757-397-4200 | |
Dr. Thomas Vincent Whelan, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3009 Corporate Ln, Suite 210, Suffolk, VA 23434 Phone: 757-623-0005 Fax: 757-935-1561 | |
Dr. Demetria Yvette Austin, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2800 Godwin Blvd, Suffolk, VA 23434 Phone: 757-967-8622 Fax: 757-686-0541 | |
Hussein Mohamed Aboulatta, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2000 Meade Parkway, Suffolk, VA 23434 Phone: 757-539-0251 Fax: 757-934-2564 | |
Dr. Michael T Williams, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 114 N Main St Ste 200, Suffolk, VA 23434 Phone: 757-934-1003 Fax: 757-934-1660 |