| Amanda Mitchell Waggoner, PAC | |
|
6160 Kempsville Cir, Suite 200 A, Norfolk, VA 23502-3933 | |
| (757) 622-6315 | |
| (757) 625-6940 |
| Full Name | Amanda Mitchell Waggoner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 6160 Kempsville Cir, Norfolk, 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 |
| 012469P05 | Other | VA | MEDICARE PTAN |
| 0110002368 | Other | VA | VA BRD OF MEDICINE LIC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002368 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pariser Dermatology Specialists Ltd | 7113902925 | 28 |
| 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 6160 Kempsville Cir, Suite 200 A, Norfolk, VA 23502-3933 Ph: (757) 622-6315 |
Zena C Longvall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 212, Norfolk, VA 23502 Phone: 757-261-5977 Fax: 757-275-9913 | |
Ryan Sadinski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 | |
Hailey Marie Hughes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9545 Shore Dr, Norfolk, VA 23518 Phone: 757-785-4861 | |
Mr. Philip John Dauernheim, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1721 Taussig Blvd., Norfolk, VA 23511 Phone: 757-314-6401 | |
Jibiao Huang, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 202a, Norfolk, VA 23507 Phone: 757-252-9140 | |
Katherine Ashley Woodward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 204, Norfolk, VA 23502 Phone: 757-261-0700 Fax: 757-261-0701 | |
Lisa A Everitt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5900 Lake Wright Dr, Norfolk, VA 23502 Phone: 757-466-8683 Fax: 757-466-0250 |