| Miguel Lopez, | |
|
17 Manhattan Sq, Hampton, VA 23666-5843 | |
| (757) 838-8030 | |
| Not Available |
| Full Name | Miguel Lopez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 17 Manhattan Sq, Hampton, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861269664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center Inc | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Paul Place Specialists, Inc. | 7719882943 | 332 |
| Entity Name | St Paul Place Specialists, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084 |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel Lopez, 7101 Hunters Chase, Norfolk, VA 23518-4449 Ph: (210) 364-9886 | Miguel Lopez, 17 Manhattan Sq, Hampton, VA 23666-5843 Ph: (757) 838-8030 |
Shelby Rae Burton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr Ste 104, Hampton, VA 23666 Phone: 757-827-9400 |
Mr. Nelson Manuel Santana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr, Hampton, VA 23666 Phone: 757-736-1000 |
Mrs. Carla Groshel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr Ste 104, Hampton, VA 23666 Phone: 757-827-9400 Fax: 757-827-9320 |
Mr. Alan David Abrams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-728-7052 |
Josiah David Hilerio, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666 Phone: 757-599-6333 Fax: 757-591-7261 |
Carissa Lynn Pardekooper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2240 Coliseum Dr Ste D, Hampton, VA 23666 Phone: 888-321-7170 |
Alyssa Dutkiewicz, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 577-764-1688 |