| Ernesto Luciano-perez, MD | |
|
5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435-2663 | |
| (757) 673-5680 | |
| (757) 483-3075 |
| Full Name | Ernesto Luciano-perez |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 39 Years |
| Location | 5838 Harbour View Blvd, Suffolk, 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 |
|---|---|---|---|
| 1336179357 | NPI | - | NPPES |
| 006405231 | Medicaid | VA | |
| 200028240 | Other | VA | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 0101046224 (Virginia) | Secondary |
| 207X00000X | Orthopaedic Surgery | 0101046224 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours Maryview Medical Center | Portsmouth, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care Llc | 3173955671 | 159 |
| Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Ernesto Luciano-perez, MD 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435-2663 Ph: (757) 673-5680 | Ernesto Luciano-perez, MD 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435-2663 Ph: (757) 673-5680 |
Aaron L Marlow, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-483-3075 | |
Michael Andrew Caines, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-483-3075 | |
Kraig S Graham, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 108, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-483-3075 | |
Jeffrey B Persons, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2012 Meade Pkwy, Suffolk, VA 23434 Phone: 757-673-5680 Fax: 757-539-5735 | |
Dr. Bryan Alan Fox, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Burnetts Way, Ste. 100, Suffolk, VA 23434 Phone: 757-547-5145 | |
Wayne T Johnson, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435 Phone: 757-673-5680 Fax: 757-397-0236 |