| Chancellor Primary Care Pllc | |
|
4510 Plank Rd Ste 200 Fredericksburg VA 22407-0138 | |
| (540) 295-9725 | |
| Not Available |
| Full Name | Chancellor Primary Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4510 Plank Rd Ste 200, Fredericksburg, Virginia |
| Authorized Official Name and Position | Jennifer Ross (OWNER) |
| Authorized Official Contact | 5402959725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chancellor Primary Care Pllc 4510 Plank Rd Ste 200 Fredericksburg VA 22407-0138 Ph: (540) 295-9725 | Chancellor Primary Care Pllc 4510 Plank Rd Ste 200 Fredericksburg VA 22407-0138 Ph: (540) 295-9725 |
| NPI Number | 1962092536 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 02/23/2021 |
| Medicare PECOS PAC ID | 7012323397 |
|---|---|
| Medicare Enrollment ID | O20210311000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962092536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dawn R Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164486171 PECOS PAC ID: 1850380379 Enrollment ID: I20040510001300 |
| Provider Name | Jennifer Lynn Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013946334 PECOS PAC ID: 8820229545 Enrollment ID: I20180326002862 |
| Provider Name | Dawn Marie Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154935401 PECOS PAC ID: 5193145811 Enrollment ID: I20201020000245 |
| Provider Name | Jeffrey Wayne Singley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457323305 PECOS PAC ID: 4981063054 Enrollment ID: I20230707000833 |
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