| Sacient Acp | |
|
1702 Dakota Ave Richmond VA 23220-6911 | |
| (804) 418-0876 | |
| Not Available |
| Full Name | Sacient Acp |
|---|---|
| Speciality | Social Worker |
| Location | 1702 Dakota Ave, Richmond, Virginia |
| Authorized Official Name and Position | Ivan Tolbert (CEO) |
| Authorized Official Contact | 8044180876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacient Acp Po Box 28684 Henrico VA 23228-8684 Ph: () - | Sacient Acp 1702 Dakota Ave Richmond VA 23220-6911 Ph: (804) 418-0876 |
| NPI Number | 1013464361 |
|---|---|
| Provider Enumeration Date | 09/03/2016 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Medicare PECOS PAC ID | 9537457056 |
|---|---|
| Medicare Enrollment ID | O20161014001570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013464361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003315 (Virginia) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Joseph Salo Galeski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265483150 PECOS PAC ID: 4284704701 Enrollment ID: I20080610000071 |
| Provider Name | Teri G Tolbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467909713 PECOS PAC ID: 2163710682 Enrollment ID: I20161014001788 |
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