Dr Shannon Denise Brackett, APRN | |
14100 Huntgate Woods Rd, Midlothian, VA 23112-4355 | |
(804) 332-0409 | |
Not Available |
Full Name | Dr Shannon Denise Brackett |
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Gender | Female |
Speciality | Nurse Practitioner - Critical Care Medicine |
Location | 14100 Huntgate Woods Rd, Midlothian, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639946643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LC0200X | Nurse Practitioner - Critical Care Medicine | 0024188941 (Virginia) | Primary |
363LA2100X | Nurse Practitioner - Acute Care | 0024188941 (Virginia) | Secondary |
Entity Name | Legacy Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902149776 PECOS PAC ID: 0042458200 Enrollment ID: O20130529000542 |
Entity Name | Legacy Care Aco Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538844857 PECOS PAC ID: 3274996426 Enrollment ID: O20230906000290 |
Mailing Address | Practice Location Address |
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Dr Shannon Denise Brackett, APRN 14100 Huntgate Woods Rd, Midlothian, VA 23112-4355 Ph: (804) 332-0409 | Dr Shannon Denise Brackett, APRN 14100 Huntgate Woods Rd, Midlothian, VA 23112-4355 Ph: (804) 332-0409 |
Jonathan Fielder, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Fox Chase Ln, Midlothian, VA 23112 Phone: 804-303-9622 Fax: 804-716-4318 | |
Rehana Sultana Kazi Glod, MSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14051 St Francis Blvd, Suite 1400, Midlothian, VA 23114 Phone: 804-325-8851 | |
Ms. Laurie Powell Burke, R.N., N.P., C.S. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 13506 East Boundary Road, Suite A, Midlothian, VA 23112 Phone: 804-744-6714 Fax: 804-744-1265 | |
Mrs. Amanda Kearse Miller, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1407 Huguenot Rd, Midlothian, VA 23113 Phone: 804-794-2299 Fax: 804-794-5774 | |
Kaitlin J Delgado, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13572 Waterford Place, Midlothian, VA 23112 Phone: 804-560-8782 Fax: 804-525-2525 | |
Mrs. Wendy Jean Hendrick, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13800 Hull Street Rd, Midlothian, VA 23112 Phone: 866-389-2727 | |
Mrs. Dana Allen Kleinschuster, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5595 Harbour Park Dr, Midlothian, VA 23112 Phone: 804-744-4495 Fax: 804-744-0751 |