Bon Secours Neuroscience Center | |
3640 High St Suite 1a Portsmouth VA 23707-3213 | |
(757) 215-3565 | |
(757) 397-8026 |
Full Name | Bon Secours Neuroscience Center |
---|---|
Speciality | Psychiatry & Neurology |
Location | 3640 High St, Portsmouth, Virginia |
Authorized Official Name and Position | Kimberly M Ralston (SYSTEM DIRECTOR) |
Authorized Official Contact | 4199965119 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bon Secours Neuroscience Center 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: () - | Bon Secours Neuroscience Center 3640 High St Suite 1a Portsmouth VA 23707-3213 Ph: (757) 215-3565 |
NPI Number | 1427229749 |
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Provider Enumeration Date | 03/14/2008 |
Last Update Date | 04/27/2022 |
Certification Date | 04/27/2022 |
Medicare PECOS PAC ID | 5799685632 |
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Medicare Enrollment ID | O20040108001176 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427229749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Kanwarpreet S Saini |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1114935772 PECOS PAC ID: 3971565367 Enrollment ID: I20041028000412 |
Provider Name | Armando J Wyatt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326013780 PECOS PAC ID: 0244280105 Enrollment ID: I20050127000955 |
Provider Name | Itrish J Scott Brown |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750501979 PECOS PAC ID: 1153372453 Enrollment ID: I20050203000619 |
Provider Name | Gohar Arslan |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1053351544 PECOS PAC ID: 1557307758 Enrollment ID: I20060726000396 |
Provider Name | Nikki L Graves |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780702365 PECOS PAC ID: 2365541513 Enrollment ID: I20070628000414 |
Provider Name | Donice B Libby |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1629115506 PECOS PAC ID: 1658464144 Enrollment ID: I20070829000315 |
Provider Name | Feroz Tamana |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659575777 PECOS PAC ID: 7113012295 Enrollment ID: I20071004000222 |
Provider Name | Marc J Rosenberg |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1699808121 PECOS PAC ID: 5991887937 Enrollment ID: I20080129000523 |
Provider Name | Anand Kapur |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972706240 PECOS PAC ID: 6709968381 Enrollment ID: I20080205000334 |
Provider Name | Vishwas Jitendrabahai Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174793335 PECOS PAC ID: 0143392803 Enrollment ID: I20080712000108 |
Provider Name | Siddharth Khanna |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1225238611 PECOS PAC ID: 8628144433 Enrollment ID: I20080902000374 |
Provider Name | Raymund S Dumaran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649341678 PECOS PAC ID: 9931205291 Enrollment ID: I20081103000649 |
Provider Name | Karin M Sandved |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053321364 PECOS PAC ID: 5092874297 Enrollment ID: I20081103000727 |
Provider Name | Mark F Miranda |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285898171 PECOS PAC ID: 0446310197 Enrollment ID: I20081125000517 |
Provider Name | Edward Skillen |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1639198872 PECOS PAC ID: 8921156225 Enrollment ID: I20090424000251 |
Provider Name | Basavalinga S Talur Matadha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639378839 PECOS PAC ID: 9739230491 Enrollment ID: I20090619000528 |
Provider Name | Yared Terefe |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1811104425 PECOS PAC ID: 3072680594 Enrollment ID: I20090727000631 |
Provider Name | Ryan Seutter |
---|---|
Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1285808311 PECOS PAC ID: 5597716480 Enrollment ID: I20090728000793 |
Provider Name | Emily Eleanor Schley |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1154589299 PECOS PAC ID: 6406993534 Enrollment ID: I20091022000345 |
Provider Name | Mitchell Shiffman |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1497847461 PECOS PAC ID: 2163561416 Enrollment ID: I20091130000540 |
Provider Name | Lloyd A Shabazz |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1720082183 PECOS PAC ID: 2163438565 Enrollment ID: I20091208000661 |
Provider Name | Noel L Hunte |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275597627 PECOS PAC ID: 5294878690 Enrollment ID: I20100208000397 |
Provider Name | Alison C Skinner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558324467 PECOS PAC ID: 0648315267 Enrollment ID: I20100308000528 |
Provider Name | Barbara G Schimming |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982668307 PECOS PAC ID: 2264569268 Enrollment ID: I20100422001157 |
Provider Name | Carlos Augusto Williams |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1669464855 PECOS PAC ID: 8921096546 Enrollment ID: I20100830000976 |
Provider Name | Dirghayu Desai |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932110277 PECOS PAC ID: 1658565387 Enrollment ID: I20101027000529 |
Provider Name | Nabeel A Mohamed |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1205968732 PECOS PAC ID: 1759579972 Enrollment ID: I20110103000483 |
Provider Name | Ashish Behl |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1477761534 PECOS PAC ID: 2668569047 Enrollment ID: I20110112000766 |
Provider Name | Apurva M. Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902856230 PECOS PAC ID: 5991987307 Enrollment ID: I20110307000529 |
Provider Name | Bhavdeep K. Gupta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790735181 PECOS PAC ID: 6800078213 Enrollment ID: I20110307000545 |
Provider Name | Philip C Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578860607 PECOS PAC ID: 0840476560 Enrollment ID: I20110513000589 |
Provider Name | Jonathan Amy |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1245237718 PECOS PAC ID: 0345248670 Enrollment ID: I20111026000919 |
Provider Name | Jason M Mchugh |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1528261674 PECOS PAC ID: 6002954039 Enrollment ID: I20111027000450 |
Provider Name | Margo B Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851674170 PECOS PAC ID: 3971778515 Enrollment ID: I20111209000787 |
Provider Name | Judith C Blevins |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1740240506 PECOS PAC ID: 7618137647 Enrollment ID: I20120328000421 |
Provider Name | Karla M Pray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801153531 PECOS PAC ID: 9234385303 Enrollment ID: I20120804000145 |
Provider Name | Margie Pascual |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164687190 PECOS PAC ID: 7517140858 Enrollment ID: I20120918000067 |
Provider Name | David Kalman Epstein |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1649256223 PECOS PAC ID: 5597926857 Enrollment ID: I20130128000015 |
Provider Name | Meghana R Shah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881890390 PECOS PAC ID: 7315092608 Enrollment ID: I20131121000498 |
Provider Name | Jerrica Sheridan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831530427 PECOS PAC ID: 9830323351 Enrollment ID: I20140501000964 |
Provider Name | Gamal Samir Gobraeel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578988374 PECOS PAC ID: 9234357443 Enrollment ID: I20140902000152 |
Provider Name | Christopher Kevin Mccann |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1184811614 PECOS PAC ID: 7517031305 Enrollment ID: I20141021001747 |
Provider Name | Jayaraman Venkatesan |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1679871180 PECOS PAC ID: 8921132655 Enrollment ID: I20141119002637 |
Provider Name | Trimaine Brinkley |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871721464 PECOS PAC ID: 9032353651 Enrollment ID: I20141208001516 |
Provider Name | Nelson Enor Airewele |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1740546944 PECOS PAC ID: 8022331479 Enrollment ID: I20141216001818 |
Provider Name | Jessica Anne Mason |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184940488 PECOS PAC ID: 0941524367 Enrollment ID: I20150113001484 |
Provider Name | Rosine Y Kemeni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992128987 PECOS PAC ID: 7012235856 Enrollment ID: I20150408000017 |
Provider Name | Hesed N Mugaisi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629121819 PECOS PAC ID: 3274681291 Enrollment ID: I20150429001929 |
Provider Name | Pho Nguyen |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1194089714 PECOS PAC ID: 6608184106 Enrollment ID: I20151002001255 |
Provider Name | Laura Anne Riddle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023423340 PECOS PAC ID: 0345559878 Enrollment ID: I20151022001659 |
Provider Name | Cecilia Adjeley Otoo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487020962 PECOS PAC ID: 0648575506 Enrollment ID: I20160301002712 |
Provider Name | Karen Fields-sykes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750747168 PECOS PAC ID: 5294032173 Enrollment ID: I20160321000076 |
Provider Name | Barbara Sarris |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003281296 PECOS PAC ID: 5698073062 Enrollment ID: I20160419000551 |
Provider Name | Grace Pagtakhan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295185676 PECOS PAC ID: 2961798616 Enrollment ID: I20160907001468 |
Provider Name | Johnsie Burke Hughes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134580269 PECOS PAC ID: 8729376645 Enrollment ID: I20161010001156 |
Provider Name | Alexis J Chappell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992190912 PECOS PAC ID: 2466733381 Enrollment ID: I20170106001314 |
Provider Name | Christina Sanchez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457800229 PECOS PAC ID: 2062794118 Enrollment ID: I20170125000316 |
Provider Name | Danielle Kelley Bibeault |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740726199 PECOS PAC ID: 6305129214 Enrollment ID: I20170220000063 |
Provider Name | Kristel Denise Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841641503 PECOS PAC ID: 2466729991 Enrollment ID: I20170605000021 |
Provider Name | Gladys C Apuli |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285171066 PECOS PAC ID: 1951679364 Enrollment ID: I20170607001985 |
Provider Name | Shannon M Lassiter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053843078 PECOS PAC ID: 0547538910 Enrollment ID: I20170608001371 |
Provider Name | Olanrewaju Agbe-davies |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1639431059 PECOS PAC ID: 6204148653 Enrollment ID: I20170814000120 |
Provider Name | Julie A Nutter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902353741 PECOS PAC ID: 7810276839 Enrollment ID: I20171006000348 |
Provider Name | Shaheen Emmanuel Lakhan |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1649585944 PECOS PAC ID: 4082937255 Enrollment ID: I20171017001688 |
Provider Name | Nahom A Tegegn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205222601 PECOS PAC ID: 5193014140 Enrollment ID: I20180815000750 |
Provider Name | Shasta Mitchell-holston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881004901 PECOS PAC ID: 7214151067 Enrollment ID: I20181003000866 |
Provider Name | Moussa Sissoko |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1669679809 PECOS PAC ID: 4981728235 Enrollment ID: I20190205002769 |
Provider Name | Andrew S Camarata |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1174693063 PECOS PAC ID: 0345506218 Enrollment ID: I20190206002778 |
Provider Name | Lynda Marroletti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629543129 PECOS PAC ID: 0244396703 Enrollment ID: I20190312002161 |
Provider Name | Chisola Njapau Sherman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396269775 PECOS PAC ID: 2860751310 Enrollment ID: I20190612000006 |
Provider Name | Manoj Chawla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922598572 PECOS PAC ID: 6901152255 Enrollment ID: I20190819001286 |
Provider Name | Belachew Degefe Arasho |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1043693062 PECOS PAC ID: 3870883135 Enrollment ID: I20190903002493 |
Provider Name | Tien Phuc Do |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1134532286 PECOS PAC ID: 5496061103 Enrollment ID: I20191009000164 |
Provider Name | Harrison Adam Herron |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1760844740 PECOS PAC ID: 7315218211 Enrollment ID: I20191015000035 |
Provider Name | Iuliana Kiliment |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1104138254 PECOS PAC ID: 7810135233 Enrollment ID: I20191119001715 |
Provider Name | Ryan Alan Williamson |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1003234204 PECOS PAC ID: 9133458581 Enrollment ID: I20200114002081 |
Provider Name | Amanda Michelle Northern |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780081018 PECOS PAC ID: 2062840663 Enrollment ID: I20200313001073 |
Provider Name | Andrea Aisha Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427683911 PECOS PAC ID: 6800218132 Enrollment ID: I20200615003031 |
Provider Name | Samuel J Potolicchio |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1114993367 PECOS PAC ID: 1557408846 Enrollment ID: I20200825002336 |
Provider Name | Sarah Woodson Smith |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1740675503 PECOS PAC ID: 0547595878 Enrollment ID: I20201019000217 |
Provider Name | Zhaoming Chen |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1609071190 PECOS PAC ID: 4880767219 Enrollment ID: I20201218001101 |
Provider Name | Margaret Aston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770057069 PECOS PAC ID: 6608289004 Enrollment ID: I20210104000328 |
Provider Name | Lydia Asabea Lartey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548858285 PECOS PAC ID: 4688079742 Enrollment ID: I20210827000880 |
Provider Name | Andrzej Kudelka |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1003910209 PECOS PAC ID: 5193723971 Enrollment ID: I20211209002947 |
Provider Name | Sadia Khan |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1427083252 PECOS PAC ID: 4587677331 Enrollment ID: I20220225000455 |
Provider Name | Todd Anthony Maraist |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1467560029 PECOS PAC ID: 4284653825 Enrollment ID: I20220418000268 |
Provider Name | Aleksandra Yakhkind |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740668334 PECOS PAC ID: 6103134150 Enrollment ID: I20220512002798 |
Provider Name | Henry O Nwazuruokeh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104487891 PECOS PAC ID: 7416339940 Enrollment ID: I20220801001010 |
Provider Name | Stephen Nnodim |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1396199105 PECOS PAC ID: 0749604510 Enrollment ID: I20220930002276 |
Provider Name | Emnet Alemu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124554225 PECOS PAC ID: 2961825914 Enrollment ID: I20230925002422 |
Provider Name | Matthew Bain |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1225052798 PECOS PAC ID: 0941258297 Enrollment ID: I20231110000338 |
Provider Name | Ashlie Krajewski |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407202260 PECOS PAC ID: 6305137654 Enrollment ID: I20231116002575 |
Provider Name | Aftab Awan |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1316971880 PECOS PAC ID: 2860473998 Enrollment ID: I20240116001167 |
Hampton Roads Psychological Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3104 Tyre Neck Rd, Portsmouth, VA 23703 Phone: 757-484-0616 Fax: 757-484-0618 | |
T. Lees Therapeutic Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4051 Cedar Ln Ste C, Portsmouth, VA 23703 Phone: 757-409-8775 | |
Additions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 739 High St, Portsmouth, VA 23704 Phone: 757-469-6975 | |
Connecting Communities, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 County St Ste 203, Portsmouth, VA 23704 Phone: 757-966-1689 Fax: 757-966-2834 | |
Mental Health Solution Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3615 Victory Blvd Ste 105, Portsmouth, VA 23701 Phone: 757-581-3897 | |
Shine The Light, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1319 Spratley St, Portsmouth, VA 23704 Phone: 757-639-7159 | |
Commonwealth Community Development Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 High St, Portsmouth, VA 23704 Phone: 757-822-3835 |