| Dr Jacquelenn Marie Stuhldreher, MD | |
|
3000 Coliseum Dr Ste 100, Hampton, VA 23666-5963 | |
| (757) 736-7250 | |
| (757) 224-2198 |
| Full Name | Dr Jacquelenn Marie Stuhldreher |
|---|---|
| Gender | Female |
| Speciality | Vascular Surgery |
| Experience | 17 Years |
| Location | 3000 Coliseum Dr Ste 100, Hampton, 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 |
|---|---|---|---|
| 1952563728 | NPI | - | NPPES |
| 0384878 | Medicaid | OH |
| 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 | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| 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 |
|---|---|
| Dr Jacquelenn Marie Stuhldreher, MD 3000 Coliseum Dr Ste 100, Hampton, VA 23666-5963 Ph: (757) 736-7250 | Dr Jacquelenn Marie Stuhldreher, MD 3000 Coliseum Dr Ste 100, Hampton, VA 23666-5963 Ph: (757) 736-7250 |
Charles Joseph Fisher Ii, MD Surgery Medicare: Medicare Enrolled Practice Location: 3000 Coliseum Dr Ste 200, Hampton, VA 23666 Phone: 757-736-7280 Fax: 757-224-3541 | |
Jane Song Nzuna, Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 757-764-6950 | |
Dr. Gregory Yung Suk Kim, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr, Ste 200, Hampton, VA 23666 Phone: 757-736-7280 Fax: 757-224-3541 | |
Dr. Darren C Koppel, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Dept. Of Surgery, Hampton, VA 23667 Phone: 757-722-9961 | |
Dr. Sara Mae Edeiken, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr Ste 200, Hampton, VA 23666 Phone: 757-224-2198 | |
Dr. Jordan Paul Crittenden, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 73 Nealy Ave, Hampton, VA 23665 Phone: 757-764-6950 | |
Dennis M Cruff, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3000 Coliseum Dr Ste 200, Hampton, VA 23666 Phone: 757-736-7280 Fax: 757-224-3541 |