Mrs Kate Jennings Ray, PMH-NP | |
700 24th St, Attn: Mcxo-bhs, Fort Lee, VA 23801-1716 | |
(804) 734-9143 | |
(804) 734-9188 |
Full Name | Mrs Kate Jennings Ray |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 17 Years |
Location | 700 24th St, Fort Lee, 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 |
---|---|---|---|
1073794285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 0024167551 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tucker Psychiatric Clinic Inc. | 9133018922 | 11 |
Entity Name | Mcv Associated Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
Entity Name | Tucker Psychiatric Clinic Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003911256 PECOS PAC ID: 9133018922 Enrollment ID: O20040311000266 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kate Jennings Ray, PMH-NP 700 24th St, Attn: Mcxo-bhs, Fort Lee, VA 23801-1716 Ph: (804) 734-9143 | Mrs Kate Jennings Ray, PMH-NP 700 24th St, Attn: Mcxo-bhs, Fort Lee, VA 23801-1716 Ph: (804) 734-9143 |
Kimberly Ellen Newton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th Street, Usameddac Kahc Attn: Credentials Office, Fort Lee, VA 23801 Phone: 804-734-9295 Fax: 804-734-9016 | |
Mr. David Thayer Bolesh, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9028 Fax: 804-734-9383 | |
Kimberly Schoen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9540 Fax: 804-734-9969 | |
Mrs. Terrie Denise Burgan, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9295 Fax: 804-734-9016 | |
Gloria Rodriguez-walton, NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th, Fort Lee, VA 23801 Phone: 804-734-9295 Fax: 804-734-9016 | |
Mr. James Albert Lalonde, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9295 Fax: 804-734-9016 |