| Bhg Chesapeake Treatment Center | |
|
3322 Western Branch Blvd Ste A Chesapeake VA 23321 | |
| (757) 673-3644 | |
| Not Available |
| Full Name | Bhg Chesapeake Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3322 Western Branch Blvd Ste A, Chesapeake, Virginia |
| Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Chesapeake Treatment Center 5001 Spring Valley Rd Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Bhg Chesapeake Treatment Center 3322 Western Branch Blvd Ste A Chesapeake VA 23321 Ph: (757) 673-3644 |
| NPI Number | 1932655313 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 9133403496 |
|---|---|
| Medicare Enrollment ID | O20170306000231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932655313 | NPI | - | NPPES |
| Provider Name | Kenneth B Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164521084 PECOS PAC ID: 6305824293 Enrollment ID: I20070411000272 |
| Provider Name | Brian P Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831233873 PECOS PAC ID: 8325268410 Enrollment ID: I20160223002348 |
| Provider Name | Craig W Swainey |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437367414 PECOS PAC ID: 9436213634 Enrollment ID: I20160622002301 |
| Provider Name | Rose M. Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871041376 PECOS PAC ID: 1557642477 Enrollment ID: I20170106001313 |
| Provider Name | Julian S Ku |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922386291 PECOS PAC ID: 8224312434 Enrollment ID: I20170308000869 |
| Provider Name | Mary Oluwatoyin Taiwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639662489 PECOS PAC ID: 6305255027 Enrollment ID: I20210511000407 |
| Provider Name | Veronica Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760052146 PECOS PAC ID: 6507263811 Enrollment ID: I20210928003323 |
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