| |
201 E Main St Remington VA 22734-9693 | |
(540) 439-9000 | |
(540) 439-9099 |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 201 E Main St, Remington, Virginia |
Authorized Official Name and Position | Taffae M Cadeau (CEO) |
Authorized Official Contact | 7187810637 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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201 E Main St Remington VA 22734-9693 Ph: (540) 439-9000 | 201 E Main St Remington VA 22734-9693 Ph: (540) 439-9000 |
NPI Number | 1073225454 |
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Provider Enumeration Date | 12/19/2022 |
Last Update Date | 09/11/2023 |
Medicare PECOS PAC ID | 5294185146 |
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Medicare Enrollment ID | O20231219001878 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073225454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Taffae Mayonette Cadeau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295048338 PECOS PAC ID: 2163547217 Enrollment ID: I20140925002252 |