Prime Regenerative And Pain Management | |
402 Chatham Square Office Park, Fredericksburg, VA 22405-2544 | |
(540) 659-5414 | |
(406) 595-4155 |
Full Name | Prime Regenerative And Pain Management |
---|---|
Type | Facility |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 402 Chatham Square Office Park, Fredericksburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205394855 | NPI | - | NPPES |
0101243180 | Other | VA | LICENCE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Primary |
Provider Name | Devashish Sen |
---|---|
Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1710959986 PECOS PAC ID: 7911986088 Enrollment ID: I20080521000572 |
Provider Name | Apryl Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144713926 PECOS PAC ID: 6103159595 Enrollment ID: I20190618002055 |
Provider Name | Tran Le Khuu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851421556 PECOS PAC ID: 3274680327 Enrollment ID: I20200427001311 |
Provider Name | Erin Duggins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114646601 PECOS PAC ID: 8123495892 Enrollment ID: I20221109001669 |
Provider Name | Tran Le Khuu |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1851421556 PECOS PAC ID: 3274680327 Enrollment ID: I20230601002131 |
Provider Name | Saba Tassaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316631922 PECOS PAC ID: 6800244716 Enrollment ID: I20231201001939 |
Mailing Address | Practice Location Address |
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Prime Regenerative And Pain Management 402 Chatham Square Office Park, Fredericksburg, VA 22405-2544 Ph: (540) 659-5414 | Prime Regenerative And Pain Management 402 Chatham Square Office Park, Fredericksburg, VA 22405-2544 Ph: (540) 659-5414 |