Bon Secours Medical Group Hampton Roads Primary Care Llc - Medicare Primary Care in Richmond, VA

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Bon Secours Medical Group Hampton Roads Primary Care Llc is a medicare enrolled primary clinic (Internal Medicine) in Richmond, Virginia. The current practice location for Bon Secours Medical Group Hampton Roads Primary Care Llc is 8580 Magellan Pkwy, Richmond, Virginia. For appointments, you can reach them via phone at (804) 627-5573. The mailing address for Bon Secours Medical Group Hampton Roads Primary Care Llc is 1701 Mercy Health Pl, Cincinnati, Ohio and phone number is () -.

Bon Secours Medical Group Hampton Roads Primary Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1528627379. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (804) 627-5573.

Contact Information

Bon Secours Medical Group Hampton Roads Primary Care Llc
8580 Magellan Pkwy
Richmond
VA 23227-1149
(804) 627-5573
(866) 449-0896

Map and Direction


Primary Care Clinic Profile

Full NameBon Secours Medical Group Hampton Roads Primary Care Llc
SpecialityInternal Medicine
Location8580 Magellan Pkwy, Richmond, Virginia
Authorized Official Name and PositionKimberly M Ralston (SYSTEM DIRECTOR)
Authorized Official Contact4199965119
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bon Secours Medical Group Hampton Roads Primary Care Llc
1701 Mercy Health Pl
Cincinnati
OH 45237-6147

Ph: () -		Bon Secours Medical Group Hampton Roads Primary Care Llc
8580 Magellan Pkwy
Richmond
VA 23227-1149

Ph: (804) 627-5573

NPI Details:

NPI Number1528627379
Provider Enumeration Date06/06/2019
Last Update Date03/24/2021

Medicare PECOS Information:

Medicare PECOS PAC ID0941632756
Medicare Enrollment IDO20191118000063

Medical Identifiers

Medical identifiers for Bon Secours Medical Group Hampton Roads Primary Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528627379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bon Secours Medical Group Hampton Roads Primary Care Llc acts as a billing entity for following providers:
Provider NameKaren Jones Washington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295709723
PECOS PAC ID: 4587626940
Enrollment ID: I20041028000941
Provider NameGeorge Moussa Tannous
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851329353
PECOS PAC ID: 2264476647
Enrollment ID: I20050616000350
Provider NameJames Michael Ponder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598737181
PECOS PAC ID: 5092746271
Enrollment ID: I20050826000855
Provider NameVictor Anglin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881641496
PECOS PAC ID: 1456244052
Enrollment ID: I20050830000454
Provider NameJojo Anne A Guzman-lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194793067
PECOS PAC ID: 9133144348
Enrollment ID: I20051006000854
Provider NameKimberly J Stone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184698672
PECOS PAC ID: 9537265301
Enrollment ID: I20070511000165
Provider NameNikki L Graves
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780702365
PECOS PAC ID: 2365541513
Enrollment ID: I20070628000414
Provider NameThomas Charles Guirkin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265441166
PECOS PAC ID: 5496750424
Enrollment ID: I20070918000251
Provider NameAnand Kapur
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972706240
PECOS PAC ID: 6709968381
Enrollment ID: I20080205000334
Provider NameRaymund S Dumaran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649341678
PECOS PAC ID: 9931205291
Enrollment ID: I20081103000649
Provider NameKarin M Sandved
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053321364
PECOS PAC ID: 5092874297
Enrollment ID: I20081103000727
Provider NameEddie L Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710958681
PECOS PAC ID: 0648311571
Enrollment ID: I20100113000919
Provider NameDavid J Castaldo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912970955
PECOS PAC ID: 0345382024
Enrollment ID: I20100119000079
Provider NameNoel L Hunte
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275597627
PECOS PAC ID: 5294878690
Enrollment ID: I20100208000397
Provider NameAlison C Skinner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558324467
PECOS PAC ID: 0648315267
Enrollment ID: I20100308000528
Provider NamePamela A Fine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295901023
PECOS PAC ID: 0749318889
Enrollment ID: I20100511000072
Provider NameMary C Whitehurst
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194734467
PECOS PAC ID: 3173668837
Enrollment ID: I20100614000844
Provider NameMary F Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750615282
PECOS PAC ID: 0143405399
Enrollment ID: I20110503000486
Provider NameMargo B Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851674170
PECOS PAC ID: 3971778515
Enrollment ID: I20111209000787
Provider NameMargie Pascual
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164687190
PECOS PAC ID: 7517140858
Enrollment ID: I20120918000067
Provider NameJocelyn C Ricasa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285894071
PECOS PAC ID: 6800045105
Enrollment ID: I20121002000235
Provider NameAron R Boney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215092747
PECOS PAC ID: 7416191952
Enrollment ID: I20130923000664
Provider NameMeghana R Shah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881890390
PECOS PAC ID: 7315092608
Enrollment ID: I20131121000498
Provider NameSonal A Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447456959
PECOS PAC ID: 8628235637
Enrollment ID: I20140305000219
Provider NameAmparo E Halecki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386088144
PECOS PAC ID: 8224276753
Enrollment ID: I20140923001011
Provider NameJessica Anne Mason
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184940488
PECOS PAC ID: 0941524367
Enrollment ID: I20150113001484
Provider NameMary Rebecca Babb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194117747
PECOS PAC ID: 8820315997
Enrollment ID: I20150330001275
Provider NameRobert C Juer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639258718
PECOS PAC ID: 6103924519
Enrollment ID: I20150427002554
Provider NameHesed N Mugaisi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629121819
PECOS PAC ID: 3274681291
Enrollment ID: I20150429001929
Provider NameLeila Olivia Bumanglag
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396177713
PECOS PAC ID: 9830408251
Enrollment ID: I20151026000065
Provider NameKaren Fields-sykes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750747168
PECOS PAC ID: 5294032173
Enrollment ID: I20160321000076
Provider NameSheree Savage-artis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841665163
PECOS PAC ID: 2264739879
Enrollment ID: I20160328000221
Provider NameBarbara Sarris
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003281296
PECOS PAC ID: 5698073062
Enrollment ID: I20160419000551
Provider NameElizabeth Robledo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003127697
PECOS PAC ID: 6103125224
Enrollment ID: I20160425000729
Provider NameGrace Pagtakhan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295185676
PECOS PAC ID: 2961798616
Enrollment ID: I20160907001468
Provider NameJohnsie Burke Hughes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134580269
PECOS PAC ID: 8729376645
Enrollment ID: I20161010001156
Provider NameShannon M Lassiter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053843078
PECOS PAC ID: 0547538910
Enrollment ID: I20170608001371
Provider NameChristine Louise Howell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164943668
PECOS PAC ID: 8820364896
Enrollment ID: I20171018001807
Provider NameAmira Siddig Elhassan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104868728
PECOS PAC ID: 9830085687
Enrollment ID: I20171128000385
Provider NameBelinda Ocampo Escanio
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679624704
PECOS PAC ID: 0547454498
Enrollment ID: I20180119001923
Provider NameJessica V Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659871580
PECOS PAC ID: 9234494709
Enrollment ID: I20180604002316
Provider NamePamela Cruz Reiser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952720690
PECOS PAC ID: 0244537389
Enrollment ID: I20180717001794
Provider NameBrenna Alyssa Kenney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083103360
PECOS PAC ID: 7719236975
Enrollment ID: I20180821002055
Provider NameTracy Forrester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760946172
PECOS PAC ID: 9638419823
Enrollment ID: I20190326002018
Provider NameManoj Chawla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922598572
PECOS PAC ID: 6901152255
Enrollment ID: I20190819001286
Provider NameBelachew Degefe Arasho
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1043693062
PECOS PAC ID: 3870883135
Enrollment ID: I20190903002493
Provider NameDeloris Council
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629633524
PECOS PAC ID: 9638501760
Enrollment ID: I20191112000701
Provider NameAmanda Michelle Northern
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780081018
PECOS PAC ID: 2062840663
Enrollment ID: I20200313001073
Provider NameAndrea Aisha Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427683911
PECOS PAC ID: 6800218132
Enrollment ID: I20200615003031
Provider NameBethany Lynn Cahill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548894165
PECOS PAC ID: 3577985019
Enrollment ID: I20200629003805
Provider NameSusana Villate Prieto
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285161828
PECOS PAC ID: 1153746524
Enrollment ID: I20200731001935
Provider NameRicky Brockington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871108233
PECOS PAC ID: 7810304235
Enrollment ID: I20210401000757
Provider NameHayes Yuen Lao
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1427549476
PECOS PAC ID: 3072863711
Enrollment ID: I20210630003956
Provider NameCharlene J Ortega
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952971277
PECOS PAC ID: 1951705631
Enrollment ID: I20210812000869
Provider NameKirstin H Negron
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558853937
PECOS PAC ID: 2062817869
Enrollment ID: I20210817001880
Provider NameTia Nelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689171175
PECOS PAC ID: 1951651827
Enrollment ID: I20210827000157
Provider NameMariam Rasool Saand
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780190389
PECOS PAC ID: 5193121390
Enrollment ID: I20210914002537
Provider NameBrady Scott Christensen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780043125
PECOS PAC ID: 2062705817
Enrollment ID: I20220114000086
Provider NameJeffrey Allen Irwin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881156362
PECOS PAC ID: 9739561580
Enrollment ID: I20220727000449
Provider NameHenry O Nwazuruokeh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104487891
PECOS PAC ID: 7416339940
Enrollment ID: I20220801001010
Provider NameDaniel Marcial Chavez Andia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598325359
PECOS PAC ID: 2062894405
Enrollment ID: I20220802002826
Provider NameEmma Daymond
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851854442
PECOS PAC ID: 8325375512
Enrollment ID: I20220810000645
Provider NameSangeeta Borkar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386380640
PECOS PAC ID: 4486037470
Enrollment ID: I20220824002546
Provider NameMelissa M Kerrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154773083
PECOS PAC ID: 0547549990
Enrollment ID: I20221015000096
Provider NameMonique Jamila Meade
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396302386
PECOS PAC ID: 7315272416
Enrollment ID: I20221109001633
Provider NameChristian Jones
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942762539
PECOS PAC ID: 5991032401
Enrollment ID: I20221115000605
Provider NameBarbara Moore Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750097242
PECOS PAC ID: 5395119275
Enrollment ID: I20230315002309
Provider NameLeon Ismael Smith-harrison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982194122
PECOS PAC ID: 6406104041
Enrollment ID: I20230906001083
Provider NameEmnet Alemu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124554225
PECOS PAC ID: 2961825914
Enrollment ID: I20230925002422
Provider NameMary Elizabeth Wade Diaz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750919130
PECOS PAC ID: 0840647145
Enrollment ID: I20231108000793
Provider NameJordan Sanchez Babiy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689450710
PECOS PAC ID: 2062869761
Enrollment ID: I20231116001765
Provider NameAshlie Krajewski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407202260
PECOS PAC ID: 6305137654
Enrollment ID: I20231116002575

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.