| Stephen M Israel, | |
|
2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | |
| (757) 507-1000 | |
| Not Available |
| Full Name | Stephen M Israel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2025 Glenn Mitchell Dr, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669190377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | LP-0010869 (Delaware) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | 0024184832 (Virginia) | Secondary |
| Entity Name | Tidewater Physicians Multispecialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
| Entity Name | Bayview Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813387 PECOS PAC ID: 5597664201 Enrollment ID: O20031231000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Israel, 1515 Savannah Rd, Lewes, DE 19958-1675 Ph: (302) 645-3499 | Stephen M Israel, 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 Ph: (757) 507-1000 |
Christopher Sanford Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1869 Somersby Ln, Virginia Beach, VA 23456 Phone: 757-462-3025 | |
Mrs. Aileen Elizabeth Bergen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 Camelot Dr Ste 300, Virginia Beach, VA 23454 Phone: 757-321-3300 Fax: 757-321-3330 | |
Phillip D Granger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3432 Holland Rd, Virginia Beach, VA 23452 Phone: 757-468-1855 | |
Oliver A Agustin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4092 Foxwood Dr, Virginia Beach, VA 23462 Phone: 757-467-4200 | |
Lisa Seraphina Berman, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4092 Foxwood Dr, Ste 101, Virginia Beach, VA 23462 Phone: 757-686-3508 Fax: 757-686-0541 | |
Mrs. Jeannie Ha Cole, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1020 Independence Blvd, Suite 110, Virginia Beach, VA 23455 Phone: 757-464-1644 Fax: 757-363-1071 | |
Samuel Kyle Holloway, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1944 Centerville Tpke, Virginia Beach, VA 23464 Phone: 757-362-9067 |