| Mr Kevin Kurt Charles, PA-C | |
|
576 Jefferson Ave, Fort Eustis, VA 23604-1602 | |
| (757) 314-7500 | |
| Not Available |
| Full Name | Mr Kevin Kurt Charles |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 576 Jefferson Ave, Fort Eustis, 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 |
|---|---|---|---|
| 1275739435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002248 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Dermatology Of Tidewater Llc | 8325277031 | 9 |
| Entity Name | Integrated Dermatology of Tidewater LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801238472 PECOS PAC ID: 8325277031 Enrollment ID: O20140129000617 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Kurt Charles, PA-C 576 Jefferson Ave, Fort Eustis, VA 23604-1602 Ph: (757) 314-7500 | Mr Kevin Kurt Charles, PA-C 576 Jefferson Ave, Fort Eustis, VA 23604-1602 Ph: (757) 314-7500 |
Mr. Sean Donohue, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 760-979-6685 |
Mr. Reed Maurice Jordan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 127 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604 Phone: 757-314-7500 |
Mrs. Gail A. Evans, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 Dillon Circle, Dcg-imt Coe, Fort Eustis, VA 23604 Phone: 912-429-7762 |
Mr. Herbert Wayne Smiley, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7602 |
Mr. Nathaniel L Hill, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Mcdonald Army Hospital, Fort Eustis, VA 23604 Phone: 757-878-1688 |
Benjamin Steven Ingerson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7500 Fax: 757-314-7953 |
Mr. Clifton Trinidad, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604 Phone: 757-314-7522 |