| Atlantic Knee Restoration & Regenerative Medicine - Richmond | |
|
7481 Right Flank Rd Ste 100 Mechanicsville VA 23116-3838 | |
| (256) 302-2228 | |
| Not Available |
| Full Name | Atlantic Knee Restoration & Regenerative Medicine - Richmond |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 7481 Right Flank Rd Ste 100, Mechanicsville, Virginia |
| Authorized Official Name and Position | Robert Trey Crittenden (OWNER) |
| Authorized Official Contact | 2563022228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Knee Restoration & Regenerative Medicine - Richmond 7481 Right Flank Rd Ste 100 Mechanicsville VA 23116-3838 Ph: () - | Atlantic Knee Restoration & Regenerative Medicine - Richmond 7481 Right Flank Rd Ste 100 Mechanicsville VA 23116-3838 Ph: (256) 302-2228 |
| NPI Number | 1093387748 |
|---|---|
| Provider Enumeration Date | 07/13/2021 |
| Last Update Date | 07/07/2022 |
| Medicare PECOS PAC ID | 3375940422 |
|---|---|
| Medicare Enrollment ID | O20210916001793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093387748 | NPI | - | NPPES |
| Provider Name | Tammy Denise Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609126044 PECOS PAC ID: 6800047523 Enrollment ID: I20121106000361 |
| Provider Name | Robert Rhoades |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124347299 PECOS PAC ID: 4789902230 Enrollment ID: I20150717000413 |
| Provider Name | Kristi M Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952641433 PECOS PAC ID: 6709021934 Enrollment ID: I20180709001288 |
| Provider Name | Delaney C Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285278945 PECOS PAC ID: 7416383831 Enrollment ID: I20200204000465 |
| Provider Name | Keith Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467012120 PECOS PAC ID: 4385058379 Enrollment ID: I20210203000887 |
| Provider Name | Jeremiah Fabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316050719 PECOS PAC ID: 9931261989 Enrollment ID: I20230207000496 |
| Provider Name | Joy Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275181844 PECOS PAC ID: 1153651310 Enrollment ID: I20240109000516 |
| Provider Name | Jenni Hackenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235709395 PECOS PAC ID: 9537562608 Enrollment ID: I20240202000938 |
The Bon Secours Program For Diabetes Health - Memorial Regional Medica Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Meadowbridge Rd Ste 203, Mechanicsville, VA 23116 Phone: 804-764-7885 Fax: 804-559-6185 | |
Peter L. Goodman, M. D.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Meadowbridge Rd, Suite 301, Mechanicsville, VA 23116 Phone: 804-559-0423 Fax: 804-559-1260 | |
Bon Secours Primary Care Associates - Mechanicsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7041 Lee Park Rd, Mechanicsville, VA 23111 Phone: 804-746-3505 Fax: 804-730-8038 | |
Primedoc Of Richmond Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 843-237-3378 Fax: 843-237-5073 | |
Orthovirginia, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8200 Meadowbridge Road, Suite 100, Mechanicsville, VA 23116 Phone: 804-730-2121 Fax: 804-730-0563 | |
Richmond Diabetes And Endocrinology - Bon Secours Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8266 Atlee Rd Ste 332, Mechanicsville, VA 23116 Phone: 804-764-7686 Fax: 804-764-7689 |