| Dr Jared Lee Antevil, MD | |
|
620 John Paul Jones Cir, Dept Of Ct Surgery, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2197 | |
| (757) 953-2489 | |
| (757) 953-2489 |
| Full Name | Dr Jared Lee Antevil |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871578534 | NPI | - | NPPES |
| 1871578534 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 0101246647 (Virginia) | Primary |
| Entity Name | Adventist Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376623207 PECOS PAC ID: 4284631540 Enrollment ID: O20061030000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jared Lee Antevil, MD 620 John Paul Jones Circle, Dept Of Ct Surgery,, Portsmouth, VA 23708-2197 Ph: (757) 953-2489 | Dr Jared Lee Antevil, MD 620 John Paul Jones Cir, Dept Of Ct Surgery, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2197 Ph: (757) 953-2489 |
Dr. Joy Dalesandro, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3640 High St, Suite 2d, Portsmouth, VA 23707 Phone: 757-398-2222 Fax: 757-398-2020 | |
Dr. Vasken K Tenekjian, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3640 High St, Suite 2f, Portsmouth, VA 23707 Phone: 757-397-2383 Fax: 757-937-5201 | |
Norman A Hetzler Jr., MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3640 High St Ste 1e, Portsmouth, VA 23707 Phone: 757-398-2222 | |
Dr. Peter Frazier Roberts, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-7550 |