Sara Deatherage, FNP-C | |
236 Clearfield Ave Ste 215, Virginia Beach, VA 23462-1893 | |
(757) 853-1380 | |
Not Available |
Full Name | Sara Deatherage |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 236 Clearfield Ave Ste 215, Virginia Beach, 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 |
---|---|---|---|
1104374693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 819106 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024177684 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vpa Pc | 9234041948 | 145 |
Entity Name | First Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366553364 PECOS PAC ID: 1557351939 Enrollment ID: O20050215001128 |
Entity Name | Vpa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942531769 PECOS PAC ID: 9234041948 Enrollment ID: O20100419000021 |
Mailing Address | Practice Location Address |
---|---|
Sara Deatherage, FNP-C Po Box 639295 Dept 93394, Cincinnati, OH 45263-9295 Ph: (248) 266-4200 | Sara Deatherage, FNP-C 236 Clearfield Ave Ste 215, Virginia Beach, VA 23462-1893 Ph: (757) 853-1380 |
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