Dr Saunora Vann Prom, DO - Medicare Sports Medicine in Chesapeake, VA

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Dr Saunora Vann Prom, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Chesapeake, Virginia. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Riverside Hospital Inc, Tidewater Physicians Multispecialty Group Pc and his current practice location is 1100 Volvo Pkwy Ste 100, Chesapeake, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 410-3231.

Dr Saunora Vann Prom is licensed to practice in Virginia (license number 0102202325) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619179363.

Contact Information

Dr Saunora Vann Prom, DO
1100 Volvo Pkwy Ste 100,
Chesapeake, VA 23320-3341
(757) 410-3231
(757) 410-3219

Map and Direction




Physician's Profile

Full NameDr Saunora Vann Prom
GenderMale
SpecialitySports Medicine
Experience19 Years
Location1100 Volvo Pkwy Ste 100, Chesapeake, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Saunora Vann Prom attended and graduated from Philadelphia College Of Osteopathic Medicine in 2006
  NPI Data:
  • NPI Number: 1619179363
  • Provider Enumeration Date: 06/04/2007
  • Last Update Date: 03/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8921155334
  • Enrollment ID: I20090421000659

Medical Identifiers

Medical identifiers for Dr Saunora Vann Prom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619179363NPI-NPPES
1619179363MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0116018672 (Virginia)Secondary
207Q00000XFamily Medicine 0102202325 (Virginia)Secondary
207QS0010XFamily Medicine - Sports Medicine 0102202325 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Princess Anne HospitalVirginia beach, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverside Hospital Inc155727129343
Tidewater Physicians Multispecialty Group Pc2860398526253

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Saunora Vann Prom allows following entities to bill medicare on his behalf.
Entity NamePatient First Richmond Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689603748
PECOS PAC ID: 9931011434
Enrollment ID: O20031103000500
Entity NameTidewater Physicians Multispecialty Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848294
PECOS PAC ID: 2860398526
Enrollment ID: O20031211000980
Entity NameRiverside Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508019837
PECOS PAC ID: 1557271293
Enrollment ID: O20040517000888

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Saunora Vann Prom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Saunora Vann Prom, DO
860 Omni Blvd Ste 128,
Newport News, VA 23606-4430

Ph: (757) 232-8769		Dr Saunora Vann Prom, DO
1100 Volvo Pkwy Ste 100,
Chesapeake, VA 23320-3341

Ph: (757) 410-3231

Reviews and Comments


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Ms. Diane H Sturgill, PA-C
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David J Zelinskas, DO, MPH
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Phone: 757-420-8297    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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