| Dr John David Lasater, MD | |
|
4000 Coliseum Dr, Ste 300, Hampton, VA 23666-5906 | |
| (757) 452-3441 | |
| (757) 224-1799 |
| Full Name | Dr John David Lasater |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 4000 Coliseum Dr, Hampton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083659007 | NPI | - | NPPES |
| 8902298 | Medicaid | NC | |
| 02298 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 31041 (North Carolina) | Secondary |
| 208800000X | Urology | 0101040054 (Virginia) | Primary |
| Entity Name | Urology of Virginia, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982994117 PECOS PAC ID: 2062681679 Enrollment ID: O20110816000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John David Lasater, MD 4000 Coliseum Dr, Ste 300, Hampton, VA 23666-5906 Ph: (757) 452-3441 | Dr John David Lasater, MD 4000 Coliseum Dr, Ste 300, Hampton, VA 23666-5906 Ph: (757) 452-3441 |
Kevin W. Sanders, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4000 Coliseum Dr, Suite 300, Hampton, VA 23666 Phone: 757-452-3441 Fax: 757-224-1799 |
Dr. David Peter Bayne, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 Fax: 577-283-1597 |
Mazhar A. Talibi, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2108 Hartford Rd, Hampton, VA 23666 Phone: 757-872-7430 Fax: 757-466-1310 |