Haise Reardon, | |
208 E Plume St Ste 213, Norfolk, VA 23510-1757 | |
(757) 359-5521 | |
Not Available |
Full Name | Haise Reardon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 208 E Plume St Ste 213, Norfolk, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851065684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | AG08210024 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Care Llc | 0042458200 | 61 |
Legacy Care Aco Llc | 3274996426 | 19 |
Bruce J Kleiman Md Pc | 5799970075 | 5 |
Entity Name | Bruce J Kleiman Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043524333 PECOS PAC ID: 5799970075 Enrollment ID: O20101111001469 |
Entity Name | Legacy Care Llc |
---|---|
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 |
---|---|
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 |
---|---|
Haise Reardon, 2201 Wessington Dr, Virginia Beach, VA 23454-6350 Ph: () - | Haise Reardon, 208 E Plume St Ste 213, Norfolk, VA 23510-1757 Ph: (757) 359-5521 |
Belinda James-petersen, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7240 Fax: 757-668-7241 | |
Tracy Lyn Martino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-8441 | |
Cecille M Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502 Phone: 757-261-5000 Fax: 757-962-5610 | |
Martha Idowu Morolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 Fax: 757-388-4242 | |
Dr. Jessica D Snook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave, 118, Norfolk, VA 23507 Phone: 757-446-5955 Fax: 757-446-5196 | |
Mrs. Ursula Julianna Pretorius, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Glenrock Rd, Suite 100, Norfolk, VA 23502 Phone: 757-252-3294 Fax: 757-510-9311 | |
Katharine Anne Strohecker, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 8630b, Norfolk, VA 23507 Phone: 757-388-6115 Fax: 757-275-9998 |