| Robin E Wallace, PHYSICIAN ASSISTANT | |
|
6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | |
| (757) 354-2885 | |
| (757) 917-5141 |
| Full Name | Robin E Wallace |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 6160 Kempsville Cir Ste 325a, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942497631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110002610 (Virginia) | Primary |
| Entity Name | Mid-atlantic Post Acute & Long Term Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225557556 PECOS PAC ID: 0648530782 Enrollment ID: O20180209000313 |
| Entity Name | Mid Atlantic Long Term Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851909998 PECOS PAC ID: 8921427162 Enrollment ID: O20201007001831 |
| Entity Name | Se Virginia Value Based Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225720501 PECOS PAC ID: 6103288170 Enrollment ID: O20230809000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Robin E Wallace, PHYSICIAN ASSISTANT 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 Ph: (757) 354-2885 | Robin E Wallace, PHYSICIAN ASSISTANT 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 Ph: (757) 354-2885 |
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 |