| Matthew T Doherty, MD | |
|
5424 Discovery Park Blvd, Williamsburg, VA 23188 | |
| (757) 707-3510 | |
| Not Available |
| Full Name | Matthew T Doherty |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 5424 Discovery Park Blvd, Williamsburg, 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 |
|---|---|---|---|
| 1356501068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085U0001X | Radiology - Diagnostic Ultrasound | 0101246161 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Physicians Multispecialty Group Pc | 2860398526 | 253 |
| Entity Name | Tidewater Physicians Multispecialty Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew T Doherty, MD 860 Omni Blvd Ste 101, Newport News, VA 23606-4430 Ph: (757) 232-8769 | Matthew T Doherty, MD 5424 Discovery Park Blvd, Williamsburg, VA 23188 Ph: (757) 707-3510 |
Dr. Mark Ewing Chisam, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3901 Treyburn Dr, Suite B, Williamsburg, VA 23185 Phone: 757-220-4900 Fax: 757-565-5328 | |
Dr. Richard B. Circeo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 35 Whittakers Mill Rd, Williamsburg, VA 23185 Phone: 757-220-2687 | |
Dr. Donald E La Vay, MD Radiology Medicare: Medicare Enrolled Practice Location: 109 George Sandys, Williamsburg, VA 23185 Phone: 757-784-0930 Fax: 757-257-1156 | |
Michael Salvatore Montileone, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Sentara Circle, Sentara Williamsburg Regional Medical Center, Williamsburg, VA 23188 Phone: 757-984-7890 Fax: 757-984-7891 | |
Dr. Jonathan Lavery Stolz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 145 Captaine Graves, Williamsburg, VA 23185 Phone: 757-229-2498 | |
Melinda Martin Dunn, MD Radiology Medicare: Medicare Enrolled Practice Location: 400 Sentara Circle, Getty Outpatient Center Womens Imaging Center, Williamsburg, VA 23188 Phone: 757-345-4080 Fax: 757-345-4001 |