Michael Bombardier, | |
321c Poplar Dr, Petersburg, VA 23805-9306 | |
(804) 733-5591 | |
Not Available |
Full Name | Michael Bombardier |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 321c Poplar Dr, Petersburg, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457876559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001235974 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024175011 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southside Regional Medical Center | Petersburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Virginia Health Services Inc | 0345158432 | 81 |
Entity Name | Central Virginia Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134258601 PECOS PAC ID: 0345158432 Enrollment ID: O20031119000823 |
Mailing Address | Practice Location Address |
---|---|
Michael Bombardier, 321c Poplar Dr, Petersburg, VA 23805-9306 Ph: (804) 733-5591 | Michael Bombardier, 321c Poplar Dr, Petersburg, VA 23805-9306 Ph: (804) 733-5591 |
Ms. Nancy Joyner Gauldin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-863-1652 Fax: 804-862-6126 | |
Olivia Mendoza, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-861-0700 | |
Linda P. Whiteley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-862-1652 | |
Jocelyn L Burls, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 | |
Chiquita Michone Thomas-jackson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3916 S Crater Rd, Petersburg, VA 23805 Phone: 804-526-4300 | |
Ms. Erica Lynn Bagby, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 Fax: 804-733-3506 | |
Ms. Evelyn Maria Cason, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 849 S Sycamore St Ste A, Petersburg, VA 23803 Phone: 804-715-1031 Fax: 804-203-4722 |