- Medicare in Chesterfield, VA

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is a medicare enrolled "Clinic/center - Multi-specialty" provider in Chesterfield, Virginia. Their current practice location is 9401 Courthouse Rd Ste 202, Chesterfield, Virginia. You can reach out to their office (for appointments etc.) via phone at (804) 616-4378.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700123064.

Contact Information

9401 Courthouse Rd Ste 202,
Chesterfield, VA 23832-6687
(804) 616-4378
(804) 451-4586

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityClinic/center - Multi-specialty
Location9401 Courthouse Rd Ste 202, Chesterfield, Virginia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700123064
  • Provider Enumeration Date: 01/07/2013
  • Last Update Date: 01/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123271236
  • Enrollment ID: O20130123000135

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700123064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary
364S00000XClinical Nurse Specialist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameTyra Lawanda Tanner
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1326340928
PECOS PAC ID: 0749438927
Enrollment ID: I20120912000834
Provider NameTyra Lawanda Tanner
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1326340928
PECOS PAC ID: 0749438927
Enrollment ID: I20130124000073
Provider NameGerlene Sherard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649722505
PECOS PAC ID: 6901176130
Enrollment ID: I20170721000270
Provider NameDenise V Lundy
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1619204138
PECOS PAC ID: 9931237286
Enrollment ID: I20200324002660
Provider NameLatonay S. R. Hughes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720676356
PECOS PAC ID: 0840688628
Enrollment ID: I20211027002423

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 2947,
Chesterfield, VA 23832-9118

Ph: (804) 616-4378
9401 Courthouse Rd Ste 202,
Chesterfield, VA 23832-6687

Ph: (804) 616-4378

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.