Mr Thomas Mark Mamalakis, PMHNP | |
2305 N Parham Rd Ste 3, Richmond, VA 23229-3156 | |
(804) 270-1124 | |
Not Available |
Full Name | Mr Thomas Mark Mamalakis |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 2305 N Parham Rd Ste 3, Richmond, 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 |
---|---|---|---|
1346810173 | NPI | - | NPPES |
0024181685 | Other | VA | VIRGINIA BOARD OF NURSING LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024181685 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dominion Behavioral Healthcare | 6709803570 | 19 |
Entity Name | Dominion Behavioral Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043262215 PECOS PAC ID: 6709803570 Enrollment ID: O20051031000975 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Mark Mamalakis, PMHNP 2305 N Parham Rd Ste 3, Richmond, VA 23229-3156 Ph: () - | Mr Thomas Mark Mamalakis, PMHNP 2305 N Parham Rd Ste 3, Richmond, VA 23229-3156 Ph: (804) 270-1124 |
Ms. Renee D Seaman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 E Marshall St, General Medicine, Richmond, VA 23298 Phone: 804-828-3144 Fax: 804-628-7104 | |
Mrs. Mary Elizabeth O'boyle Willis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall St, Department Of Pediatrics, Richmond, VA 23298 Phone: 804-628-0189 Fax: 804-828-6301 | |
Jessica Davis Roberts, PMHRN-BC, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 North 10th Street, Richmond, VA 23298 Phone: 804-828-2641 | |
Mrs. Molly Jean Seay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 517 W Grace St, Richmond, VA 23220 Phone: 804-783-2505 | |
Cynthia Chenault, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 E Marshall St, Richmond, VA 23298 Phone: 804-628-3646 | |
Jennifer J. Cox, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 N 11th St, Richmond, VA 23298 Phone: 804-828-4620 Fax: 804-628-0537 | |
Tabitha Tram Smithers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7200 Glen Forest Dr Ste 106, Richmond, VA 23226 Phone: 804-495-0053 |