Individual ProviderHermes G DizonPediatricsAllopathic & Osteopathic PhysiciansPractice Address446 Effingham St., Ste 302, Portsmouth, VA 23704(757) 673-6277PECOS EnrollmentBased on the most recent information from CMS, provider Hermes G Dizon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1538131628Provider TypeIndividualFull NameDizon, Hermes GCredentialMDGenderFemaleSole ProprietorNoEnumeration Date2/3/2006Last Updated4/7/2011Contact InformationPractice LocationPractice Address446 Effingham St., Ste 302, Portsmouth, VA 23704Phone(757) 673-6277Fax(757) 673-6411Mailing LocationMailing Address446 Effingham St., Ste 302, Portsmouth, VA 23704Phone(757) 673-6277Fax(757) 673-6411Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense0101048911VirginiaProvider IdentifiersIDDescriptionIssuerID010109230DescriptionMedicaidIssuerUnlistedVirginia