| Sentara Medical Group | |
|
2790 Godwin Blvd, Ste 355, Suffolk, VA 23434-8151 | |
| (757) 983-8520 | |
| (757) 579-8643 |
| Full Name | Sentara Medical Group |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 2790 Godwin Blvd, Suffolk, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568918480 | NPI | - | NPPES |
| C02033 | Other | VA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (Virginia) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Virginia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Sentara Medical Group 2790 Godwin Blvd, Ste 355, Suffolk, VA 23434-8151 Ph: (757) 983-8520 | Sentara Medical Group 2790 Godwin Blvd, Ste 355, Suffolk, VA 23434-8151 Ph: (757) 983-8520 |
Richard Raymond Bruno, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2790 Godwin Blvd Ste 355, Suffolk, VA 23434 Phone: 757-983-8520 Fax: 757-579-8646 | |
Jeesha Patel, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5835 Harbour View Blvd Ste A, Suffolk, VA 23435 Phone: 757-384-6619 | |
Dr. Devin Christopher Carroll, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5835 Harbour View Blvd Ste A, Suffolk, VA 23435 Phone: 757-384-6617 Fax: 757-686-3669 | |
Dr. Matthew C Dairman, DPM, MS, FACFAS Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 171 N Main St, Suffolk, VA 23434 Phone: 757-934-0768 Fax: 757-925-1901 | |
Antoinette D Adams, Dpm, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1035 Champions Way Suite 700, Harbour View Professional Center, Building 2, Suffolk, VA 23435 Phone: 757-686-3668 Fax: 757-686-3669 | |
Marc A Barbella, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 171 N Main St, Suffolk, VA 23434 Phone: 757-934-0768 Fax: 757-925-1901 | |
Mckenzie Institute For Foot & Ankle Surgery Podiatrist Medicare: Medicare Enrolled Practice Location: 3907 Bridge Rd Ste 101, Suffolk, VA 23435 Phone: 757-977-1026 Fax: 757-977-1027 |