| Joseph Frank Dilustro, MD | |
|
601 Childrens Ln, Suite 5a, Norfolk, VA 23507-1910 | |
| (757) 668-7990 | |
| (757) 668-7995 |
| Full Name | Joseph Frank Dilustro |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 601 Childrens Ln, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245246669 | NPI | - | NPPES |
| 287396 | Other | VA | ANTHEM BCBS |
| 311610834 | Other | VA | NC HEALTH CHOICE |
| 7906416 | Medicaid | NC | |
| 298129 | Other | VA | ALLIANCE/MDIPA |
| 006101445 | Medicaid | VA | |
| 4355191 | Other | VA | AETNA |
| 298129 | Other | VA | MAMSI/OPTIMUM CHOICE |
| 3116108340010E | Other | VA | CIGNA |
| 50615 | Other | VA | OPTIMA/SENTARA HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 0101043691 (Virginia) | Primary |
| Entity Name | Children's Surgical Specialty Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245248947 PECOS PAC ID: 0244288470 Enrollment ID: O20050315000329 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Frank Dilustro, MD Po Box 538480, Atlanta, GA 30353-8480 Ph: (757) 668-7990 | Joseph Frank Dilustro, MD 601 Childrens Ln, Suite 5a, Norfolk, VA 23507-1910 Ph: (757) 668-7990 |
Wilson Parrish Daugherty, M.D., PH. D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9140 Fax: 757-793-4149 | |
Jodi Anderson Gehring, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9015 Fax: 757-510-9041 | |
Mr. Paul Bruce Mitchell Jr., MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9140 | |
Rachel Elaine Creech, PA Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9140 | |
Wylie Hung Zhu, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9140 Fax: 757-793-4149 | |
Mr. Ran Vijai Pratap Singh, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 301 Riverview Ave Ste 202a, Norfolk, VA 23510 Phone: 757-252-9140 |