Miss Latisha Olivia Bristol, PA in Stafford, VA

Miss Latisha Olivia Bristol, PA is a medicare enrolled "Physician Assistant" in Stafford, Virginia. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Patient First Richmond Medical Group Pllc, Patient First Richmond Medical Group Pllc and her current practice location is 60 Prosperity Ln, Stafford, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 658-2811.

Miss Latisha Olivia Bristol is licensed to practice in Virginia (license number 0110004651) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265597538.

Contact Information

	Miss Latisha Olivia Bristol, PA
	60 Prosperity Ln, Stafford, VA 22556-4605
	(540) 658-2811
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Latisha Olivia Bristol
Gender	Female
Speciality	Physician Assistant
Experience	22 Years
Location	60 Prosperity Ln, Stafford, 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.

Medical Education and Training:

Miss Latisha Olivia Bristol graduated from nursing school in 2002

NPI Data:

NPI Number: 1265597538
Provider Enumeration Date: 12/26/2006
Last Update Date: 02/15/2021

Medicare PECOS Information:

PECOS PAC ID: 7315135761
Enrollment ID: I20101229000393

Medical Identifiers

Medical identifiers for Miss Latisha Olivia Bristol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265597538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110004651 (Virginia)	Primary
363A00000X	Physician Assistant	PA030279 (District Of Columbia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Patient First Richmond Medical Group Pllc	9931011434	278
Patient First Richmond Medical Group Pllc	9931011434	278

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Latisha Olivia Bristol is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Latisha Olivia Bristol, PA 5000 Cox Rd, Glen Allen, VA 23060-9263 Ph: (804) 968-5700	Miss Latisha Olivia Bristol, PA 60 Prosperity Ln, Stafford, VA 22556-4605 Ph: (540) 658-2811

Reviews and Comments

Physician Assistant Nurses in Stafford, VA

Leah Ussack, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20 Doc Stone Rd, Stafford, VA 22556 Phone: 412-953-3714
Michael David Johnson, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Center Blvd, Stafford, VA 22554 Phone: 703-547-7617
Athena Bevette Baldwin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 882 Garrisonville Rd, Stafford, VA 22554 Phone: 540-318-6464
Kayla Lara, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Prosperity Ln, Stafford, VA 22556 Phone: 540-658-2811
Alisha Ann Huffman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 385 Garrisonville Rd Ste 211, Stafford, VA 22554 Phone: 540-318-8602 Fax: 540-657-1220
Morgan Alexandra Panik, Physician Assistant Medicare: Medicare Enrolled Practice Location: 60 Prosperity Ln, Stafford, VA 22556 Phone: 540-658-2811

Miss Latisha Olivia Bristol, PA - Medicare Physician Assistant in Stafford, VA