| Dr Kevin G Shortt, MD | |
|
3636 High St, Portsmouth, VA 23707-3236 | |
| (757) 398-2222 | |
| (757) 398-2020 |
| Full Name | Dr Kevin G Shortt |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 35 Years |
| Location | 3636 High St, Portsmouth, Virginia |
| 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 |
|---|---|---|---|
| 1548224801 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin G Shortt, MD 7007 Harbour View Blvd, Suite 108, Suffolk, VA 23435-3657 Ph: (757) 215-2784 | Dr Kevin G Shortt, MD 3636 High St, Portsmouth, VA 23707-3236 Ph: (757) 398-2222 |
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 | |
Dr. Jared Lee Antevil, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Dept Of Ct Surgery, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-2489 Fax: 757-953-2489 |