Erica Bettina Ciminelli, MD | |
4374 New Town Ave Ste 202, Williamsburg, VA 23188-2865 | |
(757) 984-6040 | |
(757) 510-9063 |
Full Name | Erica Bettina Ciminelli |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4374 New Town Ave Ste 202, Williamsburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457779761 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 300010 (New York) | Secondary |
208000000X | Pediatrics | 0101276342 (Virginia) | Primary |
208000000X | Pediatrics | D83453 (Maryland) | Secondary |
Entity Name | University Of Maryland St Joseph Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770836785 PECOS PAC ID: 4880846179 Enrollment ID: O20121213000234 |
Mailing Address | Practice Location Address |
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Erica Bettina Ciminelli, MD 4374 New Town Ave Ste 202, Williamsburg, VA 23188-2865 Ph: (757) 984-6040 | Erica Bettina Ciminelli, MD 4374 New Town Ave Ste 202, Williamsburg, VA 23188-2865 Ph: (757) 984-6040 |
Mark C Downey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 119 Bulifants Blvd, Williamsburg, VA 23188 Phone: 757-564-7337 Fax: 757-564-3205 | |
Dr. Maurice E Graham, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4374 New Town Ave, Ste 202, Williamsburg, VA 23188 Phone: 757-253-5757 Fax: 757-510-9063 | |
Dr. Dan F Via, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4374 New Town Ave, Ste 202, Williamsburg, VA 23188 Phone: 757-253-5757 Fax: 757-510-9063 | |
Dr. Ertle Clennie Jones Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 119 Bulifants Blvd, Williamsburg, VA 23188 Phone: 757-564-7337 | |
Dr. Cynthia T Portal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 108 Harbourside, Williamsburg, VA 23188 Phone: 757-229-9378 | |
Dr. Elizabeth De Falcon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 119 Bulifants Blvd, Williamsburg, VA 23188 Phone: 757-564-7337 |