| Pegasus Psychiatric And Wellness Center | |
|
4854 Haygood Rd Suite 101 Virginia Beach VA 23455-5351 | |
| (757) 468-0550 | |
| Not Available |
| Full Name | Pegasus Psychiatric And Wellness Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4854 Haygood Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Melinda Anne Barker (DIRECTOR) |
| Authorized Official Contact | 7574680550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pegasus Psychiatric And Wellness Center 4854 Haygood Rd Suite 101 Virginia Beach VA 23455-5351 Ph: (757) 468-0550 | Pegasus Psychiatric And Wellness Center 4854 Haygood Rd Suite 101 Virginia Beach VA 23455-5351 Ph: (757) 468-0550 |
| NPI Number | 1881033074 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 08/22/2013 |
| Medicare PECOS PAC ID | 1153563242 |
|---|---|
| Medicare Enrollment ID | O20130820000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881033074 | NPI | - | NPPES |
| Provider Name | Gene A Germano |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881870442 PECOS PAC ID: 7214073527 Enrollment ID: I20100511000654 |
| Provider Name | William A Yetter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346212230 PECOS PAC ID: 6507055852 Enrollment ID: I20110118001007 |
| Provider Name | Elliott Victor Levin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649299066 PECOS PAC ID: 8022297118 Enrollment ID: I20110121000019 |
| Provider Name | Melinda Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164710059 PECOS PAC ID: 8921241910 Enrollment ID: I20130823000407 |
| Provider Name | Debra G Moore-zierow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821592676 PECOS PAC ID: 5193067304 Enrollment ID: I20190508001099 |
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