| Patrick Mattox, CRNA | |
|
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | |
| (256) 708-9789 | |
| Not Available |
| Full Name | Patrick Mattox |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780319095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-120808 (Alabama) | Primary |
| Entity Name | Atlantic Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720181514 PECOS PAC ID: 4587562152 Enrollment ID: O20031222000273 |
| Entity Name | Smg Anesthesia Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Mattox, CRNA 616 Baker Loop, Chesapeake, VA 23320-3418 Ph: (256) 708-9789 | Patrick Mattox, CRNA 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (256) 708-9789 |
Meredith Tverdosi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3238 | |
Kristen Evette Brown, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200 | |
Dr. Randall Barlow, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Nmrtc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23703 Phone: 910-382-9550 | |
Adam Richard Robles, CRNA, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5008 | |
Mr. Mark James Brownfield, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3238 | |
Mr. Robert Joseph Hawkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3197 | |
Mr. Edward Joseph Hanrahan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3216 |