| Ashcake Family Physicians Inc | |
|
7493 Right Flank Road Suite 400 Mechanicsville VA 23116 | |
| (804) 559-2916 | |
| Not Available |
| Full Name | Ashcake Family Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7493 Right Flank Road, Mechanicsville, Virginia |
| Authorized Official Name and Position | Timothy Wratchford (PRESIDENT) |
| Authorized Official Contact | 8045592916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashcake Family Physicians Inc 7493 Right Flank Road Suite 400 Mechanicsville VA 23116 Ph: (804) 559-2916 | Ashcake Family Physicians Inc 7493 Right Flank Road Suite 400 Mechanicsville VA 23116 Ph: (804) 559-2916 |
| NPI Number | 1629122932 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 01/07/2008 |
| Medicare PECOS PAC ID | 8628976248 |
|---|---|
| Medicare Enrollment ID | O20031220000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629122932 | NPI | - | NPPES |
| 1265498422 | Other | NPI | |
| 1811953565 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101234730 (Virginia) | Primary |
| 207R00000X | Internal Medicine | 0101234718 (Virginia) | Secondary |
| Provider Name | Pamela Case Wratchford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811953565 PECOS PAC ID: 9537067152 Enrollment ID: I20031220000098 |
| Provider Name | Timothy Scott Wratchford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265498422 PECOS PAC ID: 0446158067 Enrollment ID: I20031220000099 |
| Provider Name | Christen H Proffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679765085 PECOS PAC ID: 5496740565 Enrollment ID: I20040417000589 |
| Provider Name | Kimberly B Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558374736 PECOS PAC ID: 1759348220 Enrollment ID: I20041216000097 |
| Provider Name | Kerry A Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265803001 PECOS PAC ID: 7618271180 Enrollment ID: I20160203000476 |
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