| Amanda Mitchell Waggoner, PAC | |
|
207 Bulifants Blvd Ste C, Williamsburg, VA 23188-5732 | |
| (757) 622-6315 | |
| (757) 622-7022 |
| Full Name | Amanda Mitchell Waggoner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 207 Bulifants Blvd Ste C, Williamsburg, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477634582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002368 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pariser Dermatology Specialists Ltd | 7113902925 | 33 |
| Entity Name | Pariser Dermatology Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417047952 PECOS PAC ID: 7113902925 Enrollment ID: O20040623001559 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Mitchell Waggoner, PAC 6160 Kempsville Cir, Suite 200 A, Norfolk, VA 23502-3933 Ph: (757) 622-6315 | Amanda Mitchell Waggoner, PAC 207 Bulifants Blvd Ste C, Williamsburg, VA 23188-5732 Ph: (757) 622-6315 |
Odessa Ochoa, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5477 Mooretown Rd, Williamsburg, VA 23188 Phone: 800-582-5066 |
Dr. Robert Peter Dunne Jr., PA-C, DC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Sentara Cir, Williamsburg, VA 23188 Phone: 757-645-3150 Fax: 757-645-3149 |
Paula Figgs, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5408 Discovery Park Blvd Ste 300, Williamsburg, VA 23188 Phone: 757-825-2500 |
Virginia Elizabeth Knight, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Sentara Cir Ste 410, Williamsburg, VA 23188 Phone: 757-345-4600 |
Christine Anastasio, Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Sentara Cir Ste 320, Williamsburg, VA 23188 Phone: 757-345-4300 |
Summer French, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4808 Courthouse St Ste 102, Williamsburg, VA 23188 Phone: 757-622-6315 |
Hannah Lee Manson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Sentara Cir Rm 2c, Williamsburg, VA 23188 Phone: 757-984-7217 Fax: 757-984-7210 |