| Dr Stephanie Ann Moody Antonio, MD | |
|
600 Gresham Dr, Suite 1100, Norfolk, VA 23507-1904 | |
| (757) 388-6200 | |
| (757) 388-6201 |
| Full Name | Dr Stephanie Ann Moody Antonio |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 30 Years |
| Location | 600 Gresham Dr, Norfolk, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366418956 | NPI | - | NPPES |
| 174750 | Other | VA | ANTHEM |
| PAR | Other | VA | USA MANAGED CARE |
| PAR | Other | VA | MULTIPLAN |
| PAR | Other | VA | FIRST HEALTH COMMERCIAL |
| 067RG | Other | NC | BC/BS |
| 172403 | Other | VA | ANTHEM |
| 91377 | Other | VA | SENTARA OPTIMA |
| PAR | Other | VA | VA PREMIER HEALTH |
| PAR | Other | VA | CIGNA |
| -004 | Other | VA | TRICARE/CHAMPUS |
| 010170095 | Medicaid | VA | |
| PAR | Other | VA | VA HEALTH NETWORK |
| PAR | Other | VA | CORVEL/CORCARE |
| 010118387 | Medicaid | VA | |
| 2129791 | Other | VA | UHC/MAMSI |
| PAR | Other | VA | AETNA |
| 89067RG | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 0101237385 (Virginia) | Secondary |
| 207YX0901X | Otolaryngology - Otology & Neurotology | 0101237385 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Bon Secours Maryview Medical Center | Portsmouth, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evms Academic Physicians And Surgeons Health Services Foundation | 5698675510 | 204 |
| Childrens Specialty Group Pllc | 5890788764 | 71 |
| Entity Name | Evms Academic Physicians And Surgeons Health Services Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003887118 PECOS PAC ID: 5698675510 Enrollment ID: O20040304001377 |
| Entity Name | Childrens Specialty Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie Ann Moody Antonio, MD Po Box 936, Norfolk, VA 23501-0936 Ph: (757) 388-6200 | Dr Stephanie Ann Moody Antonio, MD 600 Gresham Dr, Suite 1100, Norfolk, VA 23507-1904 Ph: (757) 388-6200 |
Benjamin Joseph Rubinstein, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Dr. Ashley Anders Schroeder, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Evms Medical Group, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
William M Dougherty, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Eric J Dobratz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 | |
Craig S. Derkay, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-9327 Fax: 757-668-9848 | |
Dr. Kent Kwok Kin Lam, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 1100, Norfolk, VA 23507 Phone: 757-388-6200 Fax: 757-388-6201 |