Dr Fred Randolph Scott Iii, | |
208 Republic Ln, Suffolk, VA 23434-1005 | |
(757) 269-1400 | |
Not Available |
Full Name | Dr Fred Randolph Scott Iii |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 208 Republic Ln, Suffolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679272090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0704013358 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | 0701012670 (Virginia) | Primary |
Entity Name | Be & Mh, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043999162 PECOS PAC ID: 2769826288 Enrollment ID: O20240222003412 |
Mailing Address | Practice Location Address |
---|---|
Dr Fred Randolph Scott Iii, Po Box 1492, Suffolk, VA 23439-1492 Ph: (757) 269-1400 | Dr Fred Randolph Scott Iii, 208 Republic Ln, Suffolk, VA 23434-1005 Ph: (757) 269-1400 |
Chaniece Winfield, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 S Saratoga St, Suffolk, VA 23434 Phone: 757-842-0542 | |
Megan Lea Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 Gittings St Ste 120, Suffolk, VA 23434 Phone: 757-514-3248 | |
Christina Marie Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7025 Harbour View Blvd Ste 119, Suffolk, VA 23435 Phone: 757-525-7610 | |
Hannah Alyse Andrews, Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 Baron Blvd, Suffolk, VA 23435 Phone: 757-992-8910 | |
Satrina Yvette Artis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Commercial Ln, Suffolk, VA 23434 Phone: 757-925-2484 Fax: 757-925-2205 | |
Arielle Shipp, LPC, PMH-C Counselor Medicare: Medicare Enrolled Practice Location: 109 Clay St, Suffolk, VA 23434 Phone: 757-965-8663 Fax: 757-539-8834 | |
Ashley Lynn Bianchini, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2790 Godwin Blvd Ste 210, Suffolk, VA 23434 Phone: 513-834-7063 |