| Lydia Willis White, PA-C | |
|
5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 | |
| (757) 673-5680 | |
| (757) 483-3075 |
| Full Name | Lydia Willis White |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 5838 Harbour View Blvd Ste 100, Suffolk, 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 |
|---|---|---|---|
| 1396455937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110009295 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours Maryview Medical Center | Portsmouth, VA | Hospital |
| Sentara Obici Hospital | Suffolk, VA | Hospital |
| Bon Secours Harbour View Medical Center | Suffolk, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care Llc | 3173955671 | 197 |
| Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Willis White, PA-C Po Box 639971, Cincinnati, OH 45263-9971 Ph: Not Available | Lydia Willis White, PA-C 5838 Harbour View Blvd Ste 100, Suffolk, VA 23435-2663 Ph: (757) 673-5680 |
Miss April Channing Lust, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4868 Bridge Rd Ste 300, Suffolk, VA 23435 Phone: 757-483-7100 Fax: 615-320-3259 |
Ms. Lindsey Marie Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2050 Hillpoint Blvd N, Suffolk, VA 23434 Phone: 757-934-3434 Fax: 757-538-9038 |
Y-minh Nguyen, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1500 Breezeport Way Ste 600, Suffolk, VA 23435 Phone: 757-528-8245 Fax: 757-394-1120 |
Kaitlyn Boccella, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3920a Bridge Rd Ste 207, Suffolk, VA 23435 Phone: 757-983-2200 Fax: 757-983-2201 |
Scott Burns, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2790 Godwin Blvd Ste 100, Suffolk, VA 23434 Phone: 757-983-8750 |
Aksel Keklik, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Burnetts Way, Ste. 100, Suffolk, VA 23434 Phone: 757-547-5145 Fax: 757-539-7488 |
Rachel Larue Edmeyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Centerbrooke Ln Ste 100, Suffolk, VA 23434 Phone: 757-702-8105 |