| Bernadette Udeozor, NP | |
|
576 Jefferson Ave, Fort Eustis, VA 23604-1373 | |
| (757) 314-7500 | |
| Not Available |
| Full Name | Bernadette Udeozor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 576 Jefferson Ave, Fort Eustis, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760973127 | NPI | - | NPPES |
| 11111111 | Other | NY | ED |
| NA | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WE0003X | Registered Nurse - Emergency | F3429171 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 342917 (New York) | Primary |
| Entity Name | Kingsbrook Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104112838 PECOS PAC ID: 8729252028 Enrollment ID: O20111123000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Bernadette Udeozor, NP 12 Cedarwood Way Apt A, Newport News, VA 23608-4516 Ph: (917) 402-0007 | Bernadette Udeozor, NP 576 Jefferson Ave, Fort Eustis, VA 23604-1373 Ph: (757) 314-7500 |
Mr. Edward Eugene Yackel, MSN,APRN-BC (FNP) Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7527 Fax: 757-314-7661 | |
Latosha Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7500 Fax: 757-314-7655 | |
Davenna Mcglone-young, C.F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Mcdonald Army Community Health Center, Fort Eustis, VA 23604 Phone: 757-314-7583 Fax: 757-314-7655 | |
Mrs. Rosemary Ann Jackson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave., Fort Eustis, VA 23604 Phone: 757-314-7500 Fax: 757-314-7854 | |
Ms. Ann Elizabeth Shoemaker, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7543 | |
Dr. Johnathan Matthew Taylor, DNP, APRN, NP-C, CEN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7654 | |
Karen Nyman, FNP, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7522 |