| Grant Alan Skidmore, MD | |
|
300 Medical Pkwy Ste 200, Chesapeake, VA 23320-4985 | |
| (757) 625-4455 | |
| (757) 625-1829 |
| Full Name | Grant Alan Skidmore |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 36 Years |
| Location | 300 Medical Pkwy Ste 200, Chesapeake, 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 |
|---|---|---|---|
| 1972502466 | NPI | - | NPPES |
| 140004458 | Other | VA | RAILROAD MEDICARE |
| 006102441 | Medicaid | VA | |
| 0569J | Other | NC | BCBS OF NORTH CAROLINA |
| 076448 | Other | VA | ANTHEM BLUE CROSS BLUE SH |
| 15591 | Other | SENTARA HEALTH PLAN | |
| 229060 | Other | MDIPA/MAMSI | |
| 4668815 | Other | AETNA HEALTH PLAN | |
| 149158900 | Other | US DEPT OF LABOR | |
| 790569J | Other | NC | MEDICAID OF NORTH CAROLIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 0101052264 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Sentara Leigh Hospital | Norfolk, VA | Hospital |
| Sentara Obici Hospital | Suffolk, VA | Hospital |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neurosurgical Specialists Inc | 6204824816 | 3 |
| Entity Name | Neurosurgical Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942391396 PECOS PAC ID: 6204824816 Enrollment ID: O20040503001517 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Alan Skidmore, MD 300 Medical Pkwy Ste 200, Chesapeake, VA 23320-4985 Ph: (757) 625-4455 | Grant Alan Skidmore, MD 300 Medical Pkwy Ste 200, Chesapeake, VA 23320-4985 Ph: (757) 625-4455 |
Dr. John Michael Shutack, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 300 Medical Pkwy Ste 206, Chesapeake, VA 23320 Phone: 757-690-8990 Fax: 757-198-6944 | |
Devon Christopher Lefever, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Pkwy Ste 206, Chesapeake, VA 23320 Phone: 757-690-8990 Fax: 757-819-6944 | |
Mr. Bernardo Jose Ordonez, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Pkwy Ste 206, Chesapeake, VA 23320 Phone: 757-690-8990 | |
Jonathan Philip Partington, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Pkwy Ste 200, Chesapeake, VA 23320 Phone: 757-625-4455 Fax: 757-625-1829 | |
Joseph Lee Koen, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Pkwy Ste 200, Chesapeake, VA 23320 Phone: 757-625-4455 Fax: 757-625-1829 | |
David Carl Waters, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 300 Medical Pkwy Ste 200, Chesapeake, VA 23320 Phone: 757-625-4455 Fax: 757-625-1829 | |
Dr. John Leland Grant, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3909 Stonebridge Ct, Chesapeake, VA 23321 Phone: 757-670-5446 |