Ms Amanda Baird Street, | |
15195 Heathcote Blvd, Haymarket, VA 20169-6242 | |
(571) 261-3529 | |
(703) 361-1811 |
Full Name | Ms Amanda Baird Street |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 15195 Heathcote Blvd, Haymarket, 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 |
---|---|---|---|
1649767773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0024176366 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 0024176366 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Uva Health Haymarket Medical Center | Haymarket, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Uva Community Health Medical Group, Llc | 4688587967 | 208 |
Entity Name | Uva Community Health Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023483567 PECOS PAC ID: 4688587967 Enrollment ID: O20110311000151 |
Mailing Address | Practice Location Address |
---|---|
Ms Amanda Baird Street, Po Box 748613, Atlanta, GA 30384-8613 Ph: () - | Ms Amanda Baird Street, 15195 Heathcote Blvd, Haymarket, VA 20169-6242 Ph: (571) 261-3529 |
Mrs. Evelyn Roxana Saldana, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15225 Heathcote Blvd, Haymarket, VA 20169 Phone: 571-284-3366 Fax: 571-284-3369 | |
Ms. Rene Lynn Ernest, RN, ANP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14950 Washington St Ste 201, Haymarket, VA 20169 Phone: 703-753-2923 | |
Kathleen M. Smith Peters, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1191 Mountain Rd, Haymarket, VA 20169 Phone: 571-261-5226 | |
David Randell Phelps, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15100 Washington St Ste 103, Haymarket, VA 20169 Phone: 571-556-8205 Fax: 571-534-3910 | |
Dr. Dean F. Gawum, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14808 Keavy Ridge Ct, Haymarket, VA 20169 Phone: 703-586-5665 | |
Shannon Ann Chase, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4424 Costello Way, Haymarket, VA 20169 Phone: 703-753-1895 Fax: 703-753-4630 | |
Lindsay R Spudic, RN, BSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15125 Washington St Ste 304, Haymarket, VA 20169 Phone: 571-248-4150 |