| Mr Hershel Mack, PA-C, ATC | |
|
885 Schumann Dr, Virginia Beach, VA 23454-6878 | |
| (757) 708-1621 | |
| Not Available |
| Full Name | Mr Hershel Mack |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 885 Schumann Dr, Virginia Beach, 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 |
|---|---|---|---|
| 1245887835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 0126001007 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Bon Secours Maryview Medical Center | Portsmouth, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthovirginia Inc | 0547157224 | 570 |
| Entity Name | Orthovirginia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Hershel Mack, PA-C, ATC 4111 Monarch Way Ste 500, Norfolk, VA 23508-2563 Ph: (757) 477-6812 | Mr Hershel Mack, PA-C, ATC 885 Schumann Dr, Virginia Beach, VA 23454-6878 Ph: (757) 708-1621 |
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 |
Martha Brickey Pandajis, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2859 Virginia Beach Blvd Ste 108, Virginia Beach, VA 23452 Phone: 757-644-4615 Fax: 276-209-1307 |
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 |
Michael J Zugarek, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452 Phone: 757-395-1600 Fax: 757-961-9359 |
Oliver A Agustin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4092 Foxwood Dr, Virginia Beach, VA 23462 Phone: 757-467-4200 |