Bhg Xlii, Llc - Medicare Mental Health Clinic in Virginia Beach, VA

Bhg Xlii, Llc is a medicare enrolled mental health clinic (Clinic/center - Rehabilitation, Substance Use Disorder) in Virginia Beach, Virginia. The current practice location for Bhg Xlii, Llc is 5715 Princess Anne Rd, Virginia Beach, Virginia. For appointments, you can reach them via phone at (757) 962-0748. The mailing address for Bhg Xlii, Llc is 5001 Spring Valley Rd, Suite 600 East, Dallas, Texas and phone number is (214) 365-6100.

Bhg Xlii, Llc is licensed to practice in Virginia (license number 2967). The clinic also participates in the medicare program and its NPI number is 1003362484. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (757) 962-0748.

Contact Information

Bhg Xlii, Llc
5715 Princess Anne Rd
Virginia Beach
VA 23462-3222
(757) 962-0748
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameBhg Xlii, Llc
SpecialityClinic/Center
Location5715 Princess Anne Rd, Virginia Beach, Virginia
Authorized Official Name and PositionJemece Michelle Gasaway (DIRECTOR OF LICENSING)
Authorized Official Contact2143656126
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bhg Xlii, Llc
5001 Spring Valley Rd
Suite 600 East
Dallas
TX 75244-3946

Ph: (214) 365-6100
Bhg Xlii, Llc
5715 Princess Anne Rd
Virginia Beach
VA 23462-3222

Ph: (757) 962-0748

NPI Details:

NPI Number1003362484
Provider Enumeration Date08/26/2016
Last Update Date02/22/2019

Medicare PECOS Information:

Medicare PECOS PAC ID3779867049
Medicare Enrollment IDO20170306000709

Medical Identifiers

Medical identifiers for Bhg Xlii, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003362484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 2967 (Virginia)Secondary
261QM2800XClinic/center - Methadone 2967 (Virginia)Secondary
261QR0405XClinic/center - Rehabilitation, Substance Use Disorder 2967 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bhg Xlii, Llc acts as a billing entity for following providers:
Provider NameKenneth B Brown
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164521084
PECOS PAC ID: 6305824293
Enrollment ID: I20070411000272
Provider NameBrian P Murray
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1831233873
PECOS PAC ID: 8325268410
Enrollment ID: I20160223002348
Provider NameCraig W Swainey
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1437367414
PECOS PAC ID: 9436213634
Enrollment ID: I20160622002301
Provider NameRose M. Jacques
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871041376
PECOS PAC ID: 1557642477
Enrollment ID: I20170106001313
Provider NameJulian S Ku
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1922386291
PECOS PAC ID: 8224312434
Enrollment ID: I20170308000869
Provider NameNoelle S Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649766569
PECOS PAC ID: 3678817913
Enrollment ID: I20181127003294
Provider NameKristina E Cooper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801444377
PECOS PAC ID: 2961811435
Enrollment ID: I20210513000850
Provider NameLatoya Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578120358
PECOS PAC ID: 6800200916
Enrollment ID: I20210520000002
Provider NameIris Catherine Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043828874
PECOS PAC ID: 7214336353
Enrollment ID: I20210524000279
Provider NameAlecia Sheree Ball
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558906313
PECOS PAC ID: 6204235229
Enrollment ID: I20210525001059
Provider NameVeronica Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760052146
PECOS PAC ID: 6507263811
Enrollment ID: I20210928003323

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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.