| Mark Ainsley Innis, MD | |
|
3636 High St, Portsmouth, VA 23707-3236 | |
| (757) 398-2200 | |
| (757) 398-2359 |
| Full Name | Mark Ainsley Innis |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 3636 High St, Portsmouth, Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740450220 | NPI | - | NPPES |
| 1740450220 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 248590 (New York) | Secondary |
| 207P00000X | Emergency Medicine | 0101243430 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours Maryview Medical Center | Portsmouth, VA | Hospital |
| Sovah Health Danville | Danville, VA | Hospital |
| Brookdale Hospital Medical Center | Brooklyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ainsley Medical Llc | 6204280597 | 2 |
| Entity Name | Tidewater Emergency Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710991153 PECOS PAC ID: 4183538150 Enrollment ID: O20031113000834 |
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376917070 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Western Virginia Regional Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386183028 PECOS PAC ID: 4183991227 Enrollment ID: O20170522001368 |
| Entity Name | Lake Spring Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173 |
| Entity Name | Alexandria Springfield Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740529700 PECOS PAC ID: 1052558954 Enrollment ID: O20200115002186 |
| Entity Name | Virtualcare Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194308809 PECOS PAC ID: 7012311848 Enrollment ID: O20220110001140 |
| Entity Name | Telehealth Medical Services Of Ks Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720739402 PECOS PAC ID: 3476947946 Enrollment ID: O20220408001924 |
| Entity Name | Virtualcare Medical Services Of Ny Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992458996 PECOS PAC ID: 3173900453 Enrollment ID: O20220509000823 |
| Entity Name | Ainsley Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265124689 PECOS PAC ID: 6204280597 Enrollment ID: O20230920001427 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Ainsley Innis, MD 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 Ph: (865) 985-7012 | Mark Ainsley Innis, MD 3636 High St, Portsmouth, VA 23707-3236 Ph: (757) 398-2200 |
Eric Francis Sulava, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-0669 | |
Dr. David Wayne Champ, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1407 | |
Dr. Brian Michael Keuski, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Dr. Joel Martin Schofer, MD, MBA, CPE Emergency Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 302-824-4411 | |
Dr. David Ryan Lamborn, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Dr. Johnathan Paul Kinzer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 443-717-0272 | |
Keneth Kwame Sarpong, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200 |