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 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.
SpecializationLicense NumberStateStatus
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 NameMedicare Entity Type
2860398526O20250505001606Tidewater Physicians Multispecialty Group PcDME 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.