| Wayne R Devantier, MD | |
|
3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 | |
| (757) 483-0400 | |
| Not Available |
| Full Name | Wayne R Devantier |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 46 Years |
| Location | 3235 Academy Ave, 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 |
|---|---|---|---|
| 1538178363 | NPI | - | NPPES |
| 6306403 | Medicaid | VA | |
| 325051 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 0101040502 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virginia Eye Consultants Inc | 6608860978 | 54 |
| Entity Name | Virginia Eye Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992727820 PECOS PAC ID: 6608860978 Enrollment ID: O20040409000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne R Devantier, MD 3235 Academy Ave Ste 200, Portsmouth, VA 23703-3200 Ph: (757) 410-3435 | Wayne R Devantier, MD 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 Ph: (757) 483-0400 |
Roger W Newsom, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 | |
John T Edmonds, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 | |
Mark A Pavilack, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 | |
Dr. Kori A Elkins, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 | |
Mark John Iacobucci, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 Fax: 757-548-9563 | |
Dr. Elizabeth Ann Tonon, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Center Ophthalmology Dept, Portsmouth, VA 23708 Phone: 757-953-2682 Fax: 757-953-0855 |