Karissa L Hackelton, MD | |
1800 Glenside Dr, Suite 110, Richmond, VA 23226-3769 | |
(804) 288-1800 | |
(804) 288-0515 |
Full Name | Karissa L Hackelton |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 23 Years |
Location | 1800 Glenside Dr, Richmond, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740341841 | NPI | - | NPPES |
1740341841 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101236653 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
At Home Care | Richmond, VA | Home health agency |
Bon Secours St Marys Hospital | Richmond, VA | Hospital |
Henrico Doctors' Hospital | Richmond, VA | Hospital |
Medical College Of Virginia Hospitals | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Commonwealth Primary Care | 2264420918 | 59 |
Entity Name | Commonwealth Primary Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750571287 PECOS PAC ID: 2264420918 Enrollment ID: O20040503001117 |
Mailing Address | Practice Location Address |
---|---|
Karissa L Hackelton, MD 1800 Glenside Dr, Suite 105, Richmond, VA 23226-3769 Ph: (804) 288-0399 | Karissa L Hackelton, MD 1800 Glenside Dr, Suite 110, Richmond, VA 23226-3769 Ph: (804) 288-1800 |
Dr. Mary Mcfaden Caldwell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15000 Capital One Dr, 12078 Health Center, Richmond, VA 23238 Phone: 804-855-6000 | |
Dr. Jon Randall Frederick, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8639 Mayland Dr Ste 102, Richmond, VA 23294 Phone: 804-993-3039 Fax: 804-447-1953 | |
Dr. Zaroh L Neth, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Shockoe Slip, Ste 200, Richmond, VA 23219 Phone: 888-364-2334 Fax: 650-618-1445 | |
Mrs. Harriet Schanzer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6439 Iron Bridge Rd, Richmond, VA 23234 Phone: 804-271-8990 Fax: 804-271-9020 | |
William Edward Noller, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4620 S Laburnum Ave, Richmond, VA 23231 Phone: 804-652-2200 Fax: 804-222-0458 | |
Angela D Middleton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Glenside Dr, Suite 110, Richmond, VA 23226 Phone: 804-288-1800 Fax: 804-288-0515 | |
Dr. Reuben Hancock Broaddus Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 511 Glendale Dr, Richmond, VA 23229 Phone: 804-740-1604 |