| Mr Jezeriah Wayne Cook, PA-C | |
|
9 Manhattan Sq Ste A, Hampton, VA 23666-6262 | |
| (757) 838-6335 | |
| (757) 838-0612 |
| Full Name | Mr Jezeriah Wayne Cook |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 9 Manhattan Sq Ste A, 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 |
|---|---|---|---|
| 1225066517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002140 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Regional Medical Center | Newport news, VA | Hospital |
| Riverside Walter Reed Hospital | Gloucester, VA | Hospital |
| Sentara Careplex Hospital | Hampton, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Physicians Multispecialty Group, Pc | 2860398526 | 259 |
| Entity Name | Tidewater Physicians Multispecialty Group, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jezeriah Wayne Cook, PA-C 9 Manhattan Sq Ste A, Hampton, VA 23666-6262 Ph: (757) 838-6335 | Mr Jezeriah Wayne Cook, PA-C 9 Manhattan Sq Ste A, Hampton, VA 23666-6262 Ph: (757) 838-6335 |
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 |