Wellpath Community Care Centers Of Virginia Llc | |
11049 Warwick Blvd Newport News VA 23601-3226 | |
(615) 258-8631 | |
Not Available |
Full Name | Wellpath Community Care Centers Of Virginia Llc |
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Speciality | Community/Behavioral Health |
Location | 11049 Warwick Blvd, Newport News, Virginia |
Authorized Official Name and Position | Marc Goldstone (PC OWNER) |
Authorized Official Contact | 6155516325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellpath Community Care Centers Of Virginia Llc 1283 Murfreesboro Pike Nashville TN 37217-2432 Ph: (615) 258-8631 | Wellpath Community Care Centers Of Virginia Llc 11049 Warwick Blvd Newport News VA 23601-3226 Ph: (615) 258-8631 |
NPI Number | 1568126795 |
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Provider Enumeration Date | 10/25/2021 |
Last Update Date | 06/13/2022 |
Certification Date | 06/13/2022 |
Medicare PECOS PAC ID | 7911394507 |
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Medicare Enrollment ID | O20220429000395 |
Identifier | Type | State | Issuer |
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1568126795 | NPI | - | NPPES |
Provider Name | Brittany Yvette Bailey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295370757 PECOS PAC ID: 8921439449 Enrollment ID: I20200515001484 |
Provider Name | Steven Daniel Descoteaux |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528090040 PECOS PAC ID: 0749503456 Enrollment ID: I20220429000486 |
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