Dr Michael James Eliason, MD | |
1030 Champions Ways, Suffolk, VA 23435 | |
(757) 673-6118 | |
Not Available |
Full Name | Dr Michael James Eliason |
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Gender | Male |
Speciality | Otolaryngology |
Location | 1030 Champions Ways, 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 |
---|---|---|---|
1326465352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 0116027480 (Virginia) | Secondary |
207Y00000X | Otolaryngology | 0101258692 (Virginia) | Primary |
Entity Name | Danville Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629022868 PECOS PAC ID: 4688606304 Enrollment ID: O20051007000454 |
Entity Name | Chesapeake Regional Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699940270 PECOS PAC ID: 8426113663 Enrollment ID: O20090223000187 |
Mailing Address | Practice Location Address |
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Dr Michael James Eliason, MD 1030 Champions Ways, Suffolk, VA 23435 Ph: (757) 673-6118 | Dr Michael James Eliason, MD 1030 Champions Ways, Suffolk, VA 23435 Ph: (757) 673-6118 |
Pierre Thomas Martin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5818 Harbour View Blvd, Suite 230, Suffolk, VA 23435 Phone: 757-673-6118 Fax: 757-967-9003 | |
Edilberto Olarte Pelausa, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2000 Meade Parkway, Suffolk, VA 23434 Phone: 757-539-0251 Fax: 757-934-9421 |