| Bhg Medical Services Virginia | |
|
110 Kingsley Ln Ste 410 Norfolk VA 23505-4618 | |
| (214) 365-6126 | |
| Not Available |
| Full Name | Bhg Medical Services Virginia |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 110 Kingsley Ln Ste 410, Norfolk, 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 Medical Services Virginia 5001 Spring Valley Rd Ste 600 Dallas TX 75244-3946 Ph: (214) 365-6126 | Bhg Medical Services Virginia 110 Kingsley Ln Ste 410 Norfolk VA 23505-4618 Ph: (214) 365-6126 |
| NPI Number | 1982236345 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Medicare PECOS PAC ID | 9133535081 |
|---|---|
| Medicare Enrollment ID | O20210301002682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982236345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Brian P Murray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831233873 PECOS PAC ID: 8325268410 Enrollment ID: I20160223002348 |
| 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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