| Chesapeake Weight Loss Consultants Pllc | |
|
680 Kingsborough Sq Suite D Chesapeake VA 23320-4988 | |
| (757) 312-9444 | |
| (757) 447-3500 |
| Full Name | Chesapeake Weight Loss Consultants Pllc |
|---|---|
| Speciality | Surgery |
| Location | 680 Kingsborough Sq, Chesapeake, Virginia |
| Authorized Official Name and Position | Rachel Irene Chastanet (CO-OWNER) |
| Authorized Official Contact | 7573129444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Weight Loss Consultants Pllc Chesapeake Weight Loss Consultants, Pllc 221 Mount Pleasant Road Suite A-1 Chesapeake VA 23322-4155 Ph: (757) 312-9444 | Chesapeake Weight Loss Consultants Pllc 680 Kingsborough Sq Suite D Chesapeake VA 23320-4988 Ph: (757) 312-9444 |
| NPI Number | 1750661203 |
|---|---|
| Provider Enumeration Date | 08/27/2011 |
| Last Update Date | 05/29/2018 |
| Medicare PECOS PAC ID | 6305009424 |
|---|---|
| Medicare Enrollment ID | O20120529000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750661203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | 0101043938 (Virginia) | Secondary |
| 208600000X | Surgery | 0101222153 (Virginia) | Primary |
| Provider Name | Robert J Chastanet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083688972 PECOS PAC ID: 2365592821 Enrollment ID: I20090604000389 |
| Provider Name | Rachel I Chastanet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568420941 PECOS PAC ID: 9537339452 Enrollment ID: I20110902000022 |
| Provider Name | Donna Marie Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487276192 PECOS PAC ID: 2062839301 Enrollment ID: I20200901000784 |
| Provider Name | Carrie A Palamarchuck |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053904433 PECOS PAC ID: 9931517745 Enrollment ID: I20210415002205 |
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