MEDICARE: MEDEASE MEDICAL TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1902768773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDEASE MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	5021 CAPE MAY LOOP
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-1444
Country	:	US
Telephone Number	:	757-510-3306
Fax Number	:

Provider Business Practice Location Address
First Line	:	5021 CAPE MAY LOOP
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-1444
Country	:	US
Telephone Number	:	757-510-3306
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. STANLEY LEE MYRICK JR.
Credential	:
Telephone Number	:	757-510-3306

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “MEDEASE MEDICAL TRANSPORTATION ” Practice Location

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