Elizabeth M Barea, PA
Individual provider Active NPI Medical Physician Assistant · VA Beach, VA
NPI 1922523489 · NPPES record last updated Nov 8, 2019
Key facts
- NPI
- 1922523489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 00110005847 (VA)
- Practice address
- 1925 Glenn Mitchell Dr Ste 100
VA Beach, VA 23456-0170 - Phone
- (757) 689-8430
- Fax
- (757) 689-8435
- NPI assigned
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayview Physician Services PC
Practice addresses (Care Compare)
1024 S Battlefield Blvd
Chesapeake, VA 23322-4215
Phone (757) 410-4488
111 Mill Creek Pkwy
Suite 300
Chesapeake, VA 23323-1098
Phone (757) 558-8210
2088 S Independence Blvd
Suite 103
Virginia Beach, VA 23453-4790
Phone (757) 275-9331
3060 Godwin Blvd
Suffolk, VA 23434-8274
Phone (757) 923-9660
400 W Brambleton Ave
Suite 201
Norfolk, VA 23510-1115
Phone (757) 623-8642
4868 Bridge Rd
Suffolk, VA 23435-2048
Phone (757) 483-7113
6632 Indian River Rd
Suite 103
Virginia Beach, VA 23464-3442
Phone (757) 424-4442
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171003004930 | VA | Practitioner - Physician Assistant | 8123393014 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00110005847 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Current |
Accepting new patients | |
| Bayview Physician Services, PC | Current |
Accepting new patients | |
| Bayview Medical Center, Inc | Past | Accepting new patients | |
| Bayview Physician Services, PC | Past | Accepting new patients |
Locations
3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500
1925 Glenn Mitchell Dr
Ste 100
Virginia Beach, VA 23456
Phone (757) 689-8430
1168 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 352-2020
Interoperability endpoints
- elizabeth.barea@bayview.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 00110005847 | VA | Yes |
Addresses
Primary practice location
1925 Glenn Mitchell Dr Ste 100
VA Beach, VA 23456-0170
Mailing address
PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3508
Other names
- Elizabeth M McCabe
NPI Registry JSON
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1922523489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7068",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237070068",
"telephone_number": "757-686-3508",
"fax_number": "757-686-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 GLENN MITCHELL DR STE 100",
"city": "VA BEACH",
"state": "VA",
"postal_code": "234560170",
"telephone_number": "757-689-8430",
"fax_number": "757-689-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAREA",
"first_name": "ELIZABETH",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "00110005847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "MCCABE",
"middle_name": "M",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.