| Hmg Psychiatric Associates Pc | |
|
5918 Harbor Park Drive Midlothian VA 23112-0027 | |
| (804) 639-0400 | |
| (804) 639-0445 |
| Full Name | Hmg Psychiatric Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5918 Harbor Park Drive, Midlothian, Virginia |
| Authorized Official Name and Position | Mario Gomez (PRESIDENT HMG PSYCHIATRIC ASSOCIATE) |
| Authorized Official Contact | 8046390400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hmg Psychiatric Associates Pc Po Box 5567 Midlothian VA 23112-0027 Ph: (804) 353-0010 | Hmg Psychiatric Associates Pc 5918 Harbor Park Drive Midlothian VA 23112-0027 Ph: (804) 639-0400 |
| NPI Number | 1235354754 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 07/13/2022 |
| Certification Date | 07/13/2022 |
| Medicare PECOS PAC ID | 4082696067 |
|---|---|
| Medicare Enrollment ID | O20040603000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235354754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Meredith S Ragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548250871 PECOS PAC ID: 2365330834 Enrollment ID: I20040306000164 |
| Provider Name | Mario H Gomez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518905884 PECOS PAC ID: 5496737470 Enrollment ID: I20040603000526 |
| Provider Name | Dennis K Kilgore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376625517 PECOS PAC ID: 9638213218 Enrollment ID: I20100219000669 |
| Provider Name | Barbara B Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518397959 PECOS PAC ID: 4789900895 Enrollment ID: I20150309001803 |
| Provider Name | Kristine Helen Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316057029 PECOS PAC ID: 8820099765 Enrollment ID: I20221212001693 |
| Provider Name | Melissa Alexander Montalbine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851018949 PECOS PAC ID: 8820469372 Enrollment ID: I20230120002102 |
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