| Dr Michael Tobeh Kometa, MD | |
|
200 Medical Park Blvd, Petersburg, VA 23805-9274 | |
| (804) 765-5991 | |
| (804) 765-5244 |
| Full Name | Dr Michael Tobeh Kometa |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 200 Medical Park Blvd, Petersburg, 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 |
|---|---|---|---|
| 1700042231 | NPI | - | NPPES |
| 1700042231 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | KOME3968700 (Ohio) | Secondary |
| 207RA0000X | Internal Medicine - Adolescent Medicine | 0101249428 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
| Nash General Hospital | Rocky mount, NC | Hospital |
| Halifax Regional Medical Center Inc | Roanoke rapids, NC | Hospital |
| Southside Regional Medical Center | Petersburg, VA | Hospital |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Associates, P.a.,p.c. | 8022914522 | 526 |
| Vidant Medical Group Llc | 0345343893 | 847 |
| Usacs Integrated Acute Care Services Of North Carolina, Pllc | 2365813722 | 69 |
| Cogent Healthcare Of North Carolina Pc | 7911954714 | 45 |
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376917070 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
| Entity Name | Cmh Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Tobeh Kometa, MD 200 Medical Park Blvd, Petersburg, VA 23805-9274 Ph: (804) 765-5991 | Dr Michael Tobeh Kometa, MD 200 Medical Park Blvd, Petersburg, VA 23805-9274 Ph: (804) 765-5991 |
Jawed Abubaker, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Old Wagner Rd Ste 101, Petersburg, VA 23805 Phone: 804-524-2260 Fax: 804-524-0096 | |
Dr. Clifton Allen Hawkes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Medical Park Blvd Ste A, Petersburg, VA 23805 Phone: 804-765-6766 Fax: 804-765-6771 | |
Tahir Allauddin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Old Wagner Rd, Suite 101, Petersburg, VA 23805 Phone: 804-524-2260 Fax: 804-524-0096 | |
Robert S Davis, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 601 Old Wagner Rd, Suite 101, Petersburg, VA 23805 Phone: 804-524-2260 Fax: 804-524-0096 | |
Dr. Anwar Kamal Abdullah, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 26317 West Washington Street, Central State Hospital, Petersburg, VA 23803 Phone: 804-524-6540 Fax: 804-524-4866 | |
Dr. Sakuntla Kondragunta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5991 Fax: 804-765-5809 | |
Dr. Vijaya Lakshmi Chirumamilla, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3400 S Crater Rd, Suite B, Petersburg, VA 23805 Phone: 804-733-6960 Fax: 804-733-3880 |