| Juliana Ballestero, | |
|
736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | |
| (757) 312-8121 | |
| Not Available |
| Full Name | Juliana Ballestero |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 736 Battlefield Blvd N, Chesapeake, 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 |
|---|---|---|---|
| 1164537064 | NPI | - | NPPES |
| 007248971 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101234288 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
| Halifax Regional Medical Center Inc | Roanoke rapids, NC | Hospital |
| The Outer Banks Hospital, Inc | Nags head, NC | Hospital |
| Vidant Medical Center | Greenville, NC | Hospital |
| Vidant Chowan Hospital | Edenton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dominion Imaging Llc | 4688003445 | 48 |
| Eastern Radiologists Inc | 2466355383 | 81 |
| Entity Name | Chesapeake Radiologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801815063 PECOS PAC ID: 4183619950 Enrollment ID: O20040420000329 |
| Entity Name | Dominion Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336623123 PECOS PAC ID: 4688003445 Enrollment ID: O20200331001639 |
| Mailing Address | Practice Location Address |
|---|---|
| Juliana Ballestero, 10401 Spotsylvania Ave Ste 200, Fredericksburg, VA 22408-8606 Ph: (540) 361-1000 | Juliana Ballestero, 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 Ph: (757) 312-8121 |
Dr. Salvador Bernard Trinidad, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Radiology Department, Chesapeake, VA 23320 Phone: 757-366-0101 Fax: 757-366-8792 | |
Michael Petruschak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-8121 | |
Sanjay Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-6124 | |
Domingo C Tan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-6124 Fax: 757-312-6195 | |
John Daughdrille, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-8121 | |
Dr. Mathew Sinesi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-6294 |