Martin Tyler Deal, MD | |
946 N Main St, Chase City, VA 23924-1139 | |
(434) 372-5141 | |
(434) 372-8910 |
Full Name | Martin Tyler Deal |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 946 N Main St, Chase City, Virginia |
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 |
---|---|---|---|
1285627786 | NPI | - | NPPES |
1104W | Other | NC | BCBS INDIVIDUAL NUMBER |
891104W | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 9701734 (North Carolina) | Secondary |
207R00000X | Internal Medicine | 0101056743 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sentara Halifax Regional Hospital | South boston, VA | Hospital |
Chesapeake Regional Medical Center | Chesapeake, VA | Hospital |
Chesapeake Health And Rehabilitation Center | Chesapeake, VA | Nursing home |
Regency Health And Rehabilitation Center | Grafton, VA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Care Llc | 0042458200 | 87 |
Legacy Care Aco Llc | 3274996426 | 8 |
Halifax Regional Hospital Inc | 4587572805 | 22 |
Entity Name | Halifax Regional Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588668842 PECOS PAC ID: 4587572805 Enrollment ID: O20040607000050 |
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 | 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 |
Entity Name | M Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780056168 PECOS PAC ID: 7719278597 Enrollment ID: O20221109000050 |
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 |
---|---|
Martin Tyler Deal, MD 946 N Main St, Chase City, VA 23924-1139 Ph: (434) 372-5141 | Martin Tyler Deal, MD 946 N Main St, Chase City, VA 23924-1139 Ph: (434) 372-5141 |