| Geropartners Llc | |
|
7800 Shady Banks Ter Chesterfield VA 23832-2501 | |
| (855) 998-4376 | |
| (855) 998-4376 |
| Full Name | Geropartners Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7800 Shady Banks Ter, Chesterfield, Virginia |
| Authorized Official Name and Position | Andrew L Heck (PARTNER) |
| Authorized Official Contact | 8559984376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geropartners Llc Po Box 1764 Midlothian VA 23113-1764 Ph: (855) 998-4376 | Geropartners Llc 7800 Shady Banks Ter Chesterfield VA 23832-2501 Ph: (855) 998-4376 |
| NPI Number | 1710360169 |
|---|---|
| Provider Enumeration Date | 07/02/2015 |
| Last Update Date | 02/22/2019 |
| Medicare PECOS PAC ID | 3072804954 |
|---|---|
| Medicare Enrollment ID | O20160623001778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710360169 | NPI | - | NPPES |
| 7712260 | Medicaid | VA |
| Provider Name | Andrew L Heck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366537672 PECOS PAC ID: 1951692839 Enrollment ID: I20160627001853 |
| Provider Name | Courtney C Petley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841672201 PECOS PAC ID: 4688965569 Enrollment ID: I20160627001927 |
| Provider Name | Lewis P Hackett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992034706 PECOS PAC ID: 6608245394 Enrollment ID: I20221220002239 |
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