| Cep America - Auc Pc | |
|
12720 Mcmanus Blvd Ste 204 Newport News VA 23602-4486 | |
| (757) 866-6381 | |
| Not Available |
| Full Name | Cep America - Auc Pc |
|---|---|
| Speciality | General Practice |
| Location | 12720 Mcmanus Blvd Ste 204, Newport News, Virginia |
| Authorized Official Name and Position | David Birdsall (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Auc Pc 2100 Powell St Ste 400 Emeryville CA 94608-1872 Ph: (510) 350-2600 | Cep America - Auc Pc 12720 Mcmanus Blvd Ste 204 Newport News VA 23602-4486 Ph: (757) 866-6381 |
| NPI Number | 1104657329 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 04/04/2025 |
| Medicare PECOS PAC ID | 9537481692 |
|---|---|
| Medicare Enrollment ID | O20241022003155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104657329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mohammed A Amer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821293903 PECOS PAC ID: 0143415117 Enrollment ID: I20101116000878 |
| Provider Name | Kasim Kasim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780846873 PECOS PAC ID: 0941377972 Enrollment ID: I20240913003075 |
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