| Michael Edwin Fenton, MD | |
|
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | |
| (757) 953-5000 | |
| Not Available |
| Full Name | Michael Edwin Fenton |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 620 John Paul Jones Cir, Portsmouth, 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 |
|---|---|---|---|
| 1033183264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | M-1810 (Guam) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 00022516 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Onslow Memorial Hospital | Jacksonville, NC | Hospital |
| Carolina East Medical Center | New bern, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ybl Pllc | 5395929392 | 3 |
| Greensboro Radiology Pa | 8729074901 | 201 |
| Entity Name | General Conference Corp Of Sda |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586877 PECOS PAC ID: 6608777628 Enrollment ID: O20040114000187 |
| Entity Name | Ybl Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295057503 PECOS PAC ID: 5395929392 Enrollment ID: O20120413000671 |
| Entity Name | Takecare Insurance Company Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972565240 PECOS PAC ID: 8325951239 Enrollment ID: O20140918000062 |
| Entity Name | Pacific Radiology Inc A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023230752 PECOS PAC ID: 9830161546 Enrollment ID: O20181023003439 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Edwin Fenton, MD 8978 River Cres, Suffolk, VA 23433-1110 Ph: (757) 238-8485 | Michael Edwin Fenton, MD 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-5000 |
Alexander F Kelley, DO Radiology Medicare: May Accept Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3029 | |
Dr. Glenn Andrew Rauscher, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-0669 | |
Eric Palmer Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-7550 | |
Dr. Christopher Dac Nguyen, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1143 | |
Dr. Andre Chartier, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1128 | |
Dr. Andrew Wolfe Harbuck, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1199 |