| Minhtam T Thai, DPM | |
|
4106 Portsmouth Blvd, Portsmouth, VA 23701 | |
| (757) 393-1136 | |
| (757) 698-2499 |
| Full Name | Minhtam T Thai |
|---|---|
| Gender | Female |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 4106 Portsmouth Blvd, 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 |
|---|---|---|---|
| 1659519429 | NPI | - | NPPES |
| 0103301001 | Other | VA | COMMONWEALTH OF VIRGINIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103301001 (Virginia) | Primary |
| Provider Name | Gary Gregasavitch, Dpm, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215047352 PECOS PAC ID: 0749288611 Enrollment ID: O20061201000404 |
| Provider Name | Jencare Neighborhood Medical New Market, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568756948 PECOS PAC ID: 2860652823 Enrollment ID: O20120328000803 |
| Provider Name | Jencare Neighborhood Medical Center Virginia Beach Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770924789 PECOS PAC ID: 8921236167 Enrollment ID: O20140114001303 |
| Provider Name | Pmr Virginia Holding Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083167001 PECOS PAC ID: 9537576608 Enrollment ID: O20210408000505 |
| Mailing Address | Practice Location Address |
|---|---|
| Minhtam T Thai, DPM 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (305) 628-6117 | Minhtam T Thai, DPM 4106 Portsmouth Blvd, Portsmouth, VA 23701 Ph: (757) 393-1136 |
Dr. Cory Allan Negri, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5709 Churchland Blvd, B, Portsmouth, VA 23703 Phone: 757-484-7412 Fax: 757-686-8049 | |
Dr. Camille Ryans, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: Nmc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-1812 | |
Cmp Foot And Ankle Services L.l.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 436 Dinwiddie St Apt 1, Portsmouth, VA 23704 Phone: 757-392-4974 | |
Dr. John Martin Aalto, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1813 | |
Dr. Keith Anthony Jones, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1838 | |
Dr. Dawn Yvette Bell, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1813 Fax: 757-953-0815 |