Tinae G Diaz, | |
120 Anderson Ave, Bowling Green, VA 22427-9401 | |
(804) 633-4839 | |
(804) 633-7309 |
Full Name | Tinae G Diaz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 120 Anderson Ave, Bowling Green, 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 |
---|---|---|---|
1891342853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024176230 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Virginia Internal Medicine Inc | 4082869250 | 48 |
Virginia Internal Medicine Inc | 4082869250 | 48 |
Entity Name | Virginia Internal Medicine Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740525245 PECOS PAC ID: 4082869250 Enrollment ID: O20130220000224 |
Entity Name | Atlantic Healthcare Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912491739 PECOS PAC ID: 0345598918 Enrollment ID: O20181113002497 |
Mailing Address | Practice Location Address |
---|---|
Tinae G Diaz, 120 Anderson Ave, Bowling Green, VA 22427-9401 Ph: (804) 633-4839 | Tinae G Diaz, 120 Anderson Ave, Bowling Green, VA 22427-9401 Ph: (804) 633-4839 |
Mrs. Carol A Campbell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 West Broaddus Ave Ste 200, Suite 200, Bowling Green, VA 22427 Phone: 804-632-1030 Fax: 804-632-1033 | |
Patricia Mason Williamson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 W Broaddus Ave, Suite 200, Bowling Green, VA 22427 Phone: 804-632-1030 Fax: 804-632-1033 | |
Elisa Brooke Bivins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Broaddus Avenue, Suite 200, Bowling Green, VA 22427 Phone: 804-632-1030 Fax: 804-632-1033 | |
Elizabeth Rivlin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 West Broaddus Avenue, Suite 200, Bowling Green, VA 22427 Phone: 804-632-1030 Fax: 804-632-1033 | |
Jade Denise Haskins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 Courthouse Ln, Bowling Green, VA 22427 Phone: 804-633-5840 |