Eastern Shore Behavioral Healthcare Center - Medicare Mental Health Clinic in Parksley, VA

  1. Home
  2. Mental Health Clinics
  3. VA
  4. Parksley
Eastern Shore Behavioral Healthcare Center is a medicare enrolled mental health clinic (Counselor - Professional) in Parksley, Virginia. The current practice location for Eastern Shore Behavioral Healthcare Center is 19056 Greenbush Rd, Parksley, Virginia. For appointments, you can reach them via phone at (757) 665-1260. The mailing address for Eastern Shore Behavioral Healthcare Center is Po Box 453, Nassawadox, Virginia and phone number is (757) 442-3636.

Eastern Shore Behavioral Healthcare Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154411510. 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) 665-1260.

Contact Information

Eastern Shore Behavioral Healthcare Center
19056 Greenbush Rd
Parksley
VA 23421
(757) 665-1260
(757) 665-4184

Map and Direction


Mental Health Clinic Profile

Full NameEastern Shore Behavioral Healthcare Center
SpecialityCounselor
Location19056 Greenbush Rd, Parksley, Virginia
Authorized Official Name and PositionJames A Cannon (EXECUTIVE DIRECTOR)
Authorized Official Contact7574423636
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eastern Shore Behavioral Healthcare Center
Po Box 453
Nassawadox
VA 23413-0453

Ph: (757) 442-3636		Eastern Shore Behavioral Healthcare Center
19056 Greenbush Rd
Parksley
VA 23421

Ph: (757) 665-1260

NPI Details:

NPI Number1154411510
Provider Enumeration Date10/13/2006
Last Update Date11/05/2007

Medicare PECOS Information:

Medicare PECOS PAC ID8729185095
Medicare Enrollment IDO20070521000579

Medical Identifiers

Medical identifiers for Eastern Shore Behavioral Healthcare Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154411510NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eastern Shore Behavioral Healthcare Center acts as a billing entity for following providers:
Provider NameJohn D Ogram
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1831184696
PECOS PAC ID: 5890768600
Enrollment ID: I20040818000930
Provider NameMargaret M Joern
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164506994
PECOS PAC ID: 3971505678
Enrollment ID: I20070209000054
Provider NameRebecca E Creed
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194900928
PECOS PAC ID: 2668557406
Enrollment ID: I20080304000653
Provider NameTiffiney Smith Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932487956
PECOS PAC ID: 8426227240
Enrollment ID: I20110812000335
Provider NameJohn P Snead
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1982998274
PECOS PAC ID: 8224296249
Enrollment ID: I20120710000405
Provider NameStephen Boersman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578981460
PECOS PAC ID: 4385867878
Enrollment ID: I20140602002191
Provider NameRiaz Uddin Riaz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427011295
PECOS PAC ID: 6800899899
Enrollment ID: I20150331002901
Provider NameLisa B Sedjat
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407161565
PECOS PAC ID: 3072891266
Enrollment ID: I20161021001490
Provider NameWilliam G Mcglothlin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174791859
PECOS PAC ID: 7416237136
Enrollment ID: I20161214001808
Provider NameCaitlin Ford
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902439516
PECOS PAC ID: 1658701438
Enrollment ID: I20200417003156
Provider NameMolly Walker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326572645
PECOS PAC ID: 8426488784
Enrollment ID: I20200429000479
Provider NamePaige D Mclean
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316586225
PECOS PAC ID: 9234550112
Enrollment ID: I20200601002362
Provider NameBrent R Anderson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1588670590
PECOS PAC ID: 4486988342
Enrollment ID: I20200806001576
Provider NameVirginia A Brock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548625114
PECOS PAC ID: 5597018333
Enrollment ID: I20210913002662
Provider NameEllen S. Miles
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1477984037
PECOS PAC ID: 5193162816
Enrollment ID: I20240318001198
Provider NameJohn W Konkel
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1649726522
PECOS PAC ID: 6103263074
Enrollment ID: I20240327002275
Provider NameSusan R Johnson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1275089930
PECOS PAC ID: 1850738691
Enrollment ID: I20240328001349

Reviews and Comments

Counselor in Parksley, VA

Eastern Shore Community Services Board
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 19056 Greenbush Road, Eastern Shore Behavior Healthcare Center, Parksley, VA 23421
Phone: 757-465-1260    Fax: 757-665-4184

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.