| Mark J Hippenstiel, MD | |
|
534 Caratoke Hwy, Moyock, NC 27958-8740 | |
| (252) 435-6621 | |
| Not Available |
| Full Name | Mark J Hippenstiel |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 534 Caratoke Hwy, Moyock, North Carolina |
| 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 |
|---|---|---|---|
| 1265497838 | NPI | - | NPPES |
| 5607205 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101226438 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oak Grove Health & Rehab Center, Llc | Chesapeake, VA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Care Llc | 0042458200 | 61 |
| Entity Name | Legacy Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902149776 PECOS PAC ID: 0042458200 Enrollment ID: O20130529000542 |
| Entity Name | Legacy Care Aco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538844857 PECOS PAC ID: 3274996426 Enrollment ID: O20230906000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Hippenstiel, MD Po Box 758963, Baltimore, MD 21275-8963 Ph: (804) 822-4355 | Mark J Hippenstiel, MD 534 Caratoke Hwy, Moyock, NC 27958-8740 Ph: (252) 435-6621 |
Gregory Kwon, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 534 Caratoke Hwy, Moyock, NC 27958 Phone: 252-435-6621 | |
Nitish Jasmine Manning, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 534 Caratoke Hwy, Moyock, NC 27958 Phone: 252-435-6621 Fax: 235-435-2685 | |
Rose Gunter Suaava, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 446 Caratoke Hwy, Moyock, NC 27958 Phone: 252-435-1275 Fax: 855-348-4480 |