Crystal Monique Mackie (NPI# 1053546507, PAC ID# 9032362934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053546507 |
| PAC ID by PECOS | 9032362934 |
| Professional Enrollment ID | I20190801000784 |
| Full Name | Crystal Monique Mackie |
| Organization Legal Name | SENTARA MEDICAL GROUP |
| Address |
301 Riverview Ave Suite 810 Norfolk VA 23510-1064 |
| Phone Number | 7572529150 |
| Gender | F |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8921903923 |
| Number of Group Practice Members | 848 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490046 | SENTARA LEIGH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 301 Riverview Ave, Suite 810, Norfolk, VA 23510-1064 | 7572529150 | SENTARA MEDICAL GROUP |
| Organization Legal Name | SENTARA MEDICAL GROUP |
| Physicians | 866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merrilyn E Nelson | Family Medicine | Sentara Medical Group | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 |
| Natalia Zapata | Nurse Practitioner | Sentara Medical Group | 303 35th St, Suite 102, Virginia Beach, VA 23451-2868 |
| Meredith Constance Galt | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Christopher Nein | Family Medicine | Sentara Medical Group | 3920 Bridge Rd A, Suffolk, VA 23435-1117 |
| Mary Townsend Adams | Nurse Practitioner | Sentara Medical Group | 3600 Pointe Ctr Ct, Dumfries, VA 22026-2669 |
| Laura Renee Pinkney | Nurse Practitioner | Sentara Medical Group | 3920 A Bridge Rd, Suite 207, Suffolk, VA 23435-1107 |
| Erica L Formato | Family Medicine | Sentara Medical Group | 2760 Godwin Blvd, Suite 100, Suffolk, VA 23434-8501 |
| Diane Renee Weidner | Nurse Practitioner | Sentara Medical Group | 500 Sentara Circle, Suite 202, Williamsburg, VA 23188-5727 |
| Julie Sharlene Jones | Nurse Practitioner | Sentara Medical Group | 633 Battlefield Blcd S, 300 Intracoastal Family Practice, Chesapeake, VA 23322-4800 |
| Martha I Morolari | Nurse Practitioner | Sentara Medical Group | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 |
| Street Address |
301 RIVERVIEW AVE SUITE 810 |
| City | NORFOLK |
| State | VA |
| Zip | 23510-1064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Larocco Jr. | Infectious Disease | Sentara Medical Group | 301 Riverview Ave, Suite 710, Norfolk, VA 23510-1064 |
| Paul B Mitchell Jr. | Neurosurgery | Neurosurgical Associates | 301 Riverview Ave, Suite 400, Norfolk, VA 23510-1065 |
| Richard A Sokol | Internal Medicine | Sentara Medical Group | 301 Riverview Ave, Suite 810, Norfolk, VA 23510-1064 |
| Carmen M Wynes | Nurse Practitioner | Neurosurgical Associates | 301 Riverview Ave, Suite 400, Norfolk, VA 23510-1065 |
| Thomas V Whelan | Nephrology | Tidewater Kidney Specialists Inc | 301 Riverview Ave, Suite 512, Norfolk, VA 23510-1066 |
| Alexander A Grunsfeld | Neurology | Sentara Medical Group | 301 Riverview Ave, Suite 202, Norfolk, VA 23510-1065 |
| Valencia R Belle | Nurse Practitioner | Planas and Associates Md PC | 301 Riverview Ave, Suite 500, Norfolk, VA 23510-1066 |
| Sarah E Kennedy | Nurse Practitioner | Sentara Medical Group | 301 Riverview Ave, Suite 202, Norfolk, VA 23510-1065 |
| Thomas R Mccune | Nephrology | Nephrology Associates of Tidewater Ltd | 301 Riverview Ave, Suite 600, Norfolk, VA 23510-1065 |
| Jill M Oles | Nurse Practitioner | Neurosurgical Associates | 301 Riverview Ave, Suite 400, Norfolk, VA 23510-1065 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth B. Jenkins | Endocrinology | Evms Academic Physicians and Surgeons Health Services Foundation | 855 Brambleton Ave, Norfolk, VA 23510 |
| Roni J Bright | Nurse Practitioner | Evms Academic Physicians and Surgeons Health Services Foundation | 855 Brambleton Ave, Norfolk, VA 23510 |
| Nancy D Morewitz | Sleep Medicine | Evms Academic Physicians and Surgeons Health Services Foundation | 855 Brambleton Ave, Norfolk, VA 23510 |
| Kathleen B. Erezo | Nurse Practitioner | Evms Academic Physicians and Surgeons Health Services Foundation | 855 Brambleton Ave, Norfolk, VA 23510 |
| David C Lieb | Endocrinology | Evms Academic Physicians and Surgeons Health Services Foundation | 855 Brambleton Ave, Norfolk, VA 23510 |
| Patricia C Hannah | Nurse Practitioner | Evms Academic Physicians and Surgeons Health Services Foundation | 855 Brambleton Ave, Norfolk, VA 23510 |
| Joshua M. Sill | Pulmonary Disease | Evms Academic Physicians and Surgeons Health Services Foundation | 855 Brambleton Ave, Norfolk, VA 23510 |
| Elias S. Siraj | Endocrinology | Evms Academic Physicians and Surgeons Health Services Foundation | 855 Brambleton Ave, Norfolk, VA 23510 |
| Aaron B Nelson | Endocrinology | Evms Academic Physicians and Surgeons Health Services Foundation | 855 Brambleton Ave, Norfolk, VA 23510 |
| Alexander B Levitov | Critical Care (intensivists) | Evms Academic Physicians and Surgeons Health Services Foundation | 855 Brambleton Ave, Norfolk, VA 23510 |
| Find all physicians in zip 23510 | |||
| City | NORFOLK |
| Zip Code | 23510 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NORFOLK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Crystal Monique Mackie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.