Tidewater Physicians Multispecialty Group Pc
Durable Medical Equipment & Medical Supplies
4421 Virginia Beach Blvd Ste 114, Va Beach
Virginia, 23462-3114
757-963-7676 757-937-0104
Tidewater Physicians Multispecialty Group Pc is an authorized DME supplier for medicare equipment and products.Tidewater Physicians Multispecialty Group Pc is a Durable Medical Equipment & Medical Supplies in Va Beach, Virginia. It is located at 4421 Virginia Beach Blvd Ste 114, Va Beach and it's customer support contact number is 757-963-7676. The authorized person of Tidewater Physicians Multispecialty Group Pc is Angela A Walker who is Credentialing Manager of this DME and his contact number is 757-232-8769. Tidewater Physicians Multispecialty Group Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Tidewater Physicians Multispecialty Group Pc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Tidewater Physicians Multispecialty Group Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Tidewater Physicians Multispecialty Group Pc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 4421 Virginia Beach Blvd Ste 114, Va Beach, Virginia, 23462-3114 |
| Phone: | 757-963-7676 |
| Fax: | 757-937-0104 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Angela A Walker |
| Position: | Credentialing Manager |
| Contact Number: | 757-232-8769 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1568236859 |
| NPI Enumeration Date: | 08 Nov, 2023 |
| NPI Last Update On: | 07 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tidewater Physicians Multispecialty Group Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Tidewater Physicians Multispecialty Group Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2860398526 | O20250505001606 | Tidewater Physicians Multispecialty Group Pc | DME SUPPLIER - PHYSICIAN - ORTHOPEDIC/ORTHOPEDIC SURGERY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 860 Omni Blvd Ste 128, Newport News, Virginia |
| Zip: | 23606-4483 |
| Phone Number: | 757-232-8769 |
| Fax Number: | 757-232-8875 |
Patients can reach Tidewater Physicians Multispecialty Group Pc at
4421 Virginia Beach Blvd Ste 114, Va Beach, Virginia or can
call on customer care at 757-963-7676.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.