| Pmhealth Solutions, Pllc | |
|
1720 E Hundred Rd Ste 101 Chester VA 23836-3300 | |
| (804) 681-0673 | |
| (804) 681-0675 |
| Full Name | Pmhealth Solutions, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1720 E Hundred Rd Ste 101, Chester, Virginia |
| Authorized Official Name and Position | Tracy Moore Duarte (MANAGING MEMBER) |
| Authorized Official Contact | 8046810673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmhealth Solutions, Pllc Po Box 2998 Chester VA 23831-8455 Ph: (804) 681-0673 | Pmhealth Solutions, Pllc 1720 E Hundred Rd Ste 101 Chester VA 23836-3300 Ph: (804) 681-0673 |
| NPI Number | 1407568025 |
|---|---|
| Provider Enumeration Date | 12/14/2022 |
| Last Update Date | 06/07/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 0547632911 |
|---|---|
| Medicare Enrollment ID | O20230213000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407568025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Tracy Louise Moore Duarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679145981 PECOS PAC ID: 5991102535 Enrollment ID: I20210923001717 |
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