| Wayne D Old, MD | |
|
612 Kingsborough Sq, Suite 100, Chesapeake, VA 23320-5041 | |
| (757) 547-9294 | |
| (757) 213-9374 |
| Full Name | Wayne D Old |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 43 Years |
| Location | 612 Kingsborough Sq, Chesapeake, 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 |
|---|---|---|---|
| 1336115799 | NPI | - | NPPES |
| 006010393 | Medicaid | VA | |
| PAR | Other | VA | VHN/PHCS |
| PAR | Other | VA | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY |
| -001 | Other | VA | CHAMPUS/TRICARE |
| 0570R | Other | NC | BC/BS NC |
| 15071 | Other | VA | OPTIMA/SENTARA |
| 006059066 | Medicaid | VA | |
| 250366 | Other | VA | ATHEM BC/BS VA/HK |
| 259544 | Other | VA | ANTHEM BCBS |
| PAR | Other | VA | VPH |
| 890570R | Medicaid | NC | |
| PAR | Other | VA | MID-ATLANTIC VICARE |
| PAR | Other | VA | USA MANAGED CARE |
| 263654 | Other | VA | UHC/MAMSI/MDIPA |
| 75288 | Other | VA | SENTARA OHP/SHP |
| PAR | Other | VA | CORVEL/CORCARE |
| PAR | Other | VA | CIGNA |
| PAR | Other | VA | AETNA PPO |
| PAR | Other | VA | MULTIPLAN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Sentara Leigh Hospital | Norfolk, VA | Hospital |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Sentara Albemarle Medical Center | Elizabeth city, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sentara Medical Group | 8921903923 | 1200 |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Entity Name | Bayview Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813387 PECOS PAC ID: 5597664201 Enrollment ID: O20031231000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne D Old, MD Po Box 7068, Portsmouth, VA 23707-0068 Ph: (757) 686-3508 | Wayne D Old, MD 612 Kingsborough Sq, Suite 100, Chesapeake, VA 23320-5041 Ph: (757) 547-9294 |
Barbara Sarris, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4041 Taylor Rd, Suite G, Chesapeake, VA 23321 Phone: 757-484-5828 Fax: 757-484-4371 | |
Dr. Jieming Yan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-967-8622 Fax: 757-686-0541 | |
Louis Nicondro Carideo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 808 S Battlefield Blvd, Chesapeake, VA 23322 Phone: 757-482-4721 Fax: 757-546-9108 | |
Himanshu D. Desai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Pkwy Ste 222a, Chesapeake, VA 23320 Phone: 757-917-5716 Fax: 757-524-4396 | |
Paul J Pontier, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 713 Volvo Pkwy, Ste 100, Chesapeake, VA 23320 Phone: 757-548-0076 Fax: 757-548-1652 | |
Simon David Marian, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-547-0688 | |
Dr. David Howell Lasseter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 713 Volvo Pkwy Ste 101, Chesapeake, VA 23320 Phone: 757-609-3404 Fax: 757-410-7215 |