MS. CAROL SUE CDEBACA PA-C
NPI 1154518900
Physician Assistant - Surgical in Chester, VA
About Ms. Carol Sue Cdebaca Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CAROL SUE CDEBACA PA-C (NPI 1154518900) is an individual surgical provider in Chester, Virginia, licensed in Virginia (0110002628) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Carol Sue Cdebaca Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154518900, enumerated as an "individual" on September 26, 2007.
The provider is located at 12901 BRIGGS RD CHESTER, VA 23831 and the phone number is (804) 715-4709.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare, Humana,. Please consult your insurance carrier or call the provider to verify.