| Kathryn Sidrow, | |
|
4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 | |
| (757) 467-4200 | |
| Not Available |
| Full Name | Kathryn Sidrow |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 4092 Foxwood Dr, Virginia Beach, 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 |
|---|---|---|---|
| 1417306317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Saint Mary's Hospital | Leonardtown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 3726 |
| Medstar Urgent Care Llc | 9335303155 | 300 |
| Entity Name | Fair Oaks Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649203605 PECOS PAC ID: 2264425081 Enrollment ID: O20040407000494 |
| Entity Name | Whc Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700154226 PECOS PAC ID: 6103093513 Enrollment ID: O20120125000252 |
| Entity Name | Medstar Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| Entity Name | Medstar Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871843409 PECOS PAC ID: 9335303155 Enrollment ID: O20130513000540 |
| Entity Name | Commonwealth Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598723082 PECOS PAC ID: 7618870312 Enrollment ID: O20141104000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Sidrow, 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 Ph: Not Available | Kathryn Sidrow, 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 Ph: (757) 467-4200 |
Mrs. Aileen Elizabeth Bergen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 Camelot Dr Ste 300, Virginia Beach, VA 23454 Phone: 757-321-3300 Fax: 757-321-3330 |
Ashley S Jessen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2090 Princess Anne Rd Ste 140, Virginia Beach, VA 23456 Phone: 757-530-8038 Fax: 757-425-8476 |
Samantha Hudock, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1950 Glenn Mitchell Dr Ste 102, Virginia Beach, VA 23456 Phone: 757-368-0437 |
Phillip D Granger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3432 Holland Rd, Virginia Beach, VA 23452 Phone: 757-468-1855 |
Oliver A Agustin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4092 Foxwood Dr, Virginia Beach, VA 23462 Phone: 757-467-4200 |
Lisa Seraphina Berman, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4092 Foxwood Dr, Ste 101, Virginia Beach, VA 23462 Phone: 757-686-3508 Fax: 757-686-0541 |
Mrs. Jeannie Ha Cole, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1020 Independence Blvd, Suite 110, Virginia Beach, VA 23455 Phone: 757-464-1644 Fax: 757-363-1071 |