Mary Vann, | |
1850 Pocahontas Trl, Quinton, VA 23141-1657 | |
(804) 932-4388 | |
(804) 932-1003 |
Full Name | Mary Vann |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1850 Pocahontas Trl, Quinton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669855714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024172745 (Virginia) | Primary |
Entity Name | Chickahominy Family Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689683724 PECOS PAC ID: 7719977560 Enrollment ID: O20040525000387 |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
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Mary Vann, 1850 Pocahontas Trl, Quinton, VA 23141-1657 Ph: (804) 932-4388 | Mary Vann, 1850 Pocahontas Trl, Quinton, VA 23141-1657 Ph: (804) 932-4388 |
Jeanne Sovek Cornett, FNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Pocahontas Trl, Quinton, VA 23141 Phone: 757-897-1833 Fax: 757-273-1133 | |
Ms. Candace Loucks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7493 Patriots Landing Pl, Quinton, VA 23141 Phone: 804-244-0459 | |
Mrs. Margaret Mountcastle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Pocahontas Trl, Quinton, VA 23141 Phone: 804-932-4388 Fax: 804-932-9860 | |
Marietah Kilundo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11300 Continental Rd, Quinton, VA 23141 Phone: 804-694-9585 | |
Suzanna Hunter Goode, LNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8770 Matoaka Glen Rd, Quinton, VA 23141 Phone: 804-929-8255 | |
Jenny L Brady, MSN, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7410 Cooper Tavern Rd Ste B, Quinton, VA 23141 Phone: 804-223-3608 Fax: 804-223-3648 |