Seek Wellbeing Housecalls Program | |
10040 Pentland Hills Way Bristow VA 20136 | |
(202) 888-4959 | |
(703) 995-0930 |
Full Name | Seek Wellbeing Housecalls Program |
---|---|
Speciality | Nurse Practitioner |
Location | 10040 Pentland Hills Way, Bristow, Virginia |
Authorized Official Name and Position | Johanna Lynn Gaskins (OWNER) |
Authorized Official Contact | 2028884959 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Seek Wellbeing Housecalls Program 10040 Pentland Hills Way Bristow VA 20136-2665 Ph: (202) 497-8348 | Seek Wellbeing Housecalls Program 10040 Pentland Hills Way Bristow VA 20136 Ph: (202) 888-4959 |
NPI Number | 1538726203 |
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Provider Enumeration Date | 05/28/2019 |
Last Update Date | 08/24/2023 |
Medicare PECOS PAC ID | 5395071351 |
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Medicare Enrollment ID | O20190729002543 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538726203 | NPI | - | NPPES |
10145009 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Johanna Gaskins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124595103 PECOS PAC ID: 2466797147 Enrollment ID: I20190729002707 |
Provider Name | Bessie Raines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023588449 PECOS PAC ID: 2365776770 Enrollment ID: I20200803000316 |
Provider Name | Toni Fife |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619577566 PECOS PAC ID: 0446669675 Enrollment ID: I20210617001317 |
Provider Name | Leslie A Davy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417532755 PECOS PAC ID: 2163862012 Enrollment ID: I20240516001089 |
Youth For Tomorrow New Life Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-636-5100 Fax: 703-361-4335 | |
Uva Health Bull Run Family Medicine Bristow Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10322 Bristow Center Dr, Bristow, VA 20136 Phone: 571-284-4230 Fax: 703-257-1495 |