| Mary Rose Tidoe, | |
|
5715 Princess Anne Rd, Virginia Beach, VA 23462-3222 | |
| (757) 756-7732 | |
| Not Available |
| Full Name | Mary Rose Tidoe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 5715 Princess Anne Rd, 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 |
|---|---|---|---|
| 1073142881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 321854 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024182807 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Addiction Recovery Center Of Virginia | 6406277268 | 3 |
| Entity Name | Addiction Recovery Center Of Virginia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811407042 PECOS PAC ID: 6406277268 Enrollment ID: O20200603000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Rose Tidoe, 311 Woodview Ave, Norfolk, VA 23505-1157 Ph: (757) 756-7732 | Mary Rose Tidoe, 5715 Princess Anne Rd, Virginia Beach, VA 23462-3222 Ph: (757) 756-7732 |
Dr. Ameanthea Rica Blanco-knezovich, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Diamond Springs Rd, Ste 503, Virginia Beach, VA 23455 Phone: 757-656-1665 | |
Clotilde Jorgina Ramos, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456 Phone: 757-507-1000 | |
Dr. Mary Heath Conner, DNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2624 Southern Blvd Ste 102, Virginia Beach, VA 23452 Phone: 757-453-1256 Fax: 319-359-3813 | |
Tonja Marie Devolgado, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 Glenn Mitchell Dr Ste 512, Virginia Beach, VA 23456 Phone: 757-507-8850 | |
Andrew Paul Leisring, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5500 Magnolia Run Cir Apt 107, Virginia Beach, VA 23464 Phone: 513-373-6017 | |
Rebekah Harriet Camerino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 First Colonial Rd Ste 204, Virginia Beach, VA 23454 Phone: 757-363-8212 | |
Stephanie Cole Oldfield, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5110 Fax: 757-466-3411 |