Glenside Medical Associates, Llc | |
4000a Glenside Dr Richmond VA 23228-4102 | |
(804) 262-4763 | |
(804) 264-9683 |
Full Name | Glenside Medical Associates, Llc |
---|---|
Speciality | Family Medicine |
Location | 4000a Glenside Dr, Richmond, Virginia |
Authorized Official Name and Position | Robin Campbell (SR DIRECTOR, ENTERPRISE REVENUE CYC) |
Authorized Official Contact | 8042624763 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Glenside Medical Associates, Llc 4000a Glenside Dr Richmond VA 23228-4102 Ph: (804) 262-4763 | Glenside Medical Associates, Llc 4000a Glenside Dr Richmond VA 23228-4102 Ph: (804) 262-4763 |
NPI Number | 1215936901 |
---|---|
Provider Enumeration Date | 07/15/2005 |
Last Update Date | 09/22/2023 |
Medicare PECOS PAC ID | 9032253596 |
---|---|
Medicare Enrollment ID | O20100222000428 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215936901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Adam K Gelrud |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982676276 PECOS PAC ID: 0840270435 Enrollment ID: I20040723000444 |
Provider Name | Glenn B Mizrach |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437158128 PECOS PAC ID: 4385788850 Enrollment ID: I20100316000942 |
Provider Name | Kevin L Powers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609875293 PECOS PAC ID: 5294879763 Enrollment ID: I20100316000958 |
Provider Name | Stephen M Ashe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952300634 PECOS PAC ID: 3476697947 Enrollment ID: I20100316000975 |
Provider Name | John P White |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336148923 PECOS PAC ID: 7416082458 Enrollment ID: I20100316000990 |
Provider Name | Nelson Javier Chen Fernandez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417147315 PECOS PAC ID: 2062545478 Enrollment ID: I20110421000480 |
Provider Name | Berta Lisbeth Granados Ortega |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760672661 PECOS PAC ID: 3274666714 Enrollment ID: I20110706000167 |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |