Ivan Che Ndamukong, PHD, PA-C in Portsmouth, VA

Ivan Che Ndamukong, PHD, PA-C is a medicare enrolled "Physician Assistant" in Portsmouth, Virginia. He went to Eastern Virginia Medical School and graduated in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Bon Secours Medical Group Hampton Roads Specialty Care Llc and his current practice location is 1040 University Blvd Ste 205, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 391-7370.

Ivan Che Ndamukong is licensed to practice in Virginia (license number 0110008765) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679234371.

Contact Information

	Ivan Che Ndamukong, PHD, PA-C
	1040 University Blvd Ste 205, Portsmouth, VA 23703-2650
	(757) 391-7370
	Not Available

Map and Direction

Provider's Profile

Full Name	Ivan Che Ndamukong
Gender	Male
Speciality	Physician Assistant
Experience	4 Years
Location	1040 University Blvd Ste 205, 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.

Medical Education and Training:

Ivan Che Ndamukong attended and graduated from Eastern Virginia Medical School in 2022

NPI Data:

NPI Number: 1679234371
Provider Enumeration Date: 01/04/2022
Last Update Date: 08/29/2022

Medicare PECOS Information:

PECOS PAC ID: 7911378252
Enrollment ID: I20230124000977

Medical Identifiers

Medical identifiers for Ivan Che Ndamukong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679234371	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110008765 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bon Secours Maryview Medical Center	Portsmouth, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bon Secours Medical Group Hampton Roads Specialty Care Llc	3173955671	159

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Che Ndamukong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ivan Che Ndamukong, PHD, PA-C 2113 Chesterfield Loop, Chesapeake, VA 23323-6670 Ph: (252) 412-9548	Ivan Che Ndamukong, PHD, PA-C 1040 University Blvd Ste 205, Portsmouth, VA 23703-2650 Ph: (757) 391-7370

Reviews and Comments

Physician Assistant Nurses in Portsmouth, VA

Juan C Robayo, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4000 Coast Guard Blvd, Portsmouth, VA 23703 Phone: 757-483-8596
Mr. Michael A Shafer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth Naval Hospital, Portsmouth, VA 23708 Phone: 757-953-9531
Anisha Katyal Sanchez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1040 University Blvd Ste 205, Portsmouth, VA 23703 Phone: 757-484-5900
Tobijah T Griffin, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1891 Fax: 757-953-7560
Jana Lentzner Galyo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200
Jennifer L Torraco, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1040 University Blvd Ste 205, Portsmouth, VA 23703 Phone: 757-484-5900 Fax: 757-483-6671
Mr. Dale Richard Wilson Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3733

Ivan Che Ndamukong, PHD, PA-C - Medicare Physician Assistant in Portsmouth, VA