| Victor D Lewis Iii, MD | |
|
736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | |
| (757) 312-6124 | |
| (757) 312-6195 |
| Full Name | Victor D Lewis Iii |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 736 Battlefield Blvd N, Chesapeake, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841207453 | NPI | - | NPPES |
| 010135656 | Medicaid | VA | |
| 0101237357 | Other | VA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101237357 (Virginia) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 0101237357 (Virginia) | Primary |
| Entity Name | Chesapeake Radiologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801815063 PECOS PAC ID: 4183619950 Enrollment ID: O20040420000329 |
| Entity Name | Chesapeake Diagnostic Imaging Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922056241 PECOS PAC ID: 3678524576 Enrollment ID: O20140422001068 |
| Mailing Address | Practice Location Address |
|---|---|
| Victor D Lewis Iii, MD Po Box 844527, Boston, MA 02284-4527 Ph: (757) 867-6101 | Victor D Lewis Iii, MD 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 Ph: (757) 312-6124 |
Dr. Salvador Bernard Trinidad, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Radiology Department, Chesapeake, VA 23320 Phone: 757-366-0101 Fax: 757-366-8792 | |
Michael Petruschak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-8121 | |
Sanjay Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-6124 | |
Juliana Ballestero, Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-8121 | |
Domingo C Tan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-6124 Fax: 757-312-6195 | |
John Daughdrille, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-8121 | |
Dr. Mathew Sinesi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-6294 |