| Nicholas Lance Deglopper, PA-C | |
|
830 Kempsville Rd, Norfolk, VA 23502-3920 | |
| (757) 261-6000 | |
| Not Available |
| Full Name | Nicholas Lance Deglopper |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 830 Kempsville Rd, Norfolk, 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 |
|---|---|---|---|
| 1124746409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 5601012131 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Lakeland Hospitals St Joseph Hospi | St joseph, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Medical Practices | 1658427042 | 286 |
| Entity Name | Sound Inpatient Physicians-michigan PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093967861 PECOS PAC ID: 5395896849 Enrollment ID: O20090624000252 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Lance Deglopper, PA-C 907 Sunset Hills Ave Nw, Grand Rapids, MI 49534-3639 Ph: (616) 915-7160 | Nicholas Lance Deglopper, PA-C 830 Kempsville Rd, Norfolk, VA 23502-3920 Ph: (757) 261-6000 |
Zena Coreen Longvall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 212, Norfolk, VA 23502 Phone: 757-261-5977 Fax: 757-275-9913 |
Ryan Sadinski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 |
Hailey Marie Hughes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9545 Shore Dr, Norfolk, VA 23518 Phone: 757-785-4861 |
Mr. Philip John Dauernheim, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1721 Taussig Blvd., Norfolk, VA 23511 Phone: 757-314-6401 |
Jibiao Huang, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 202a, Norfolk, VA 23507 Phone: 757-252-9140 |
Katherine Ashley Woodward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 204, Norfolk, VA 23502 Phone: 757-261-0700 Fax: 757-261-0701 |
Jordan Jackson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6379 Center Dr, Norfolk, VA 23502 Phone: 757-467-5967 |