| Hamilton Family Practice | |
|
204 N Hamilton St Suite B Richmond VA 23221-2662 | |
| (804) 353-1230 | |
| (804) 353-3342 |
| Full Name | Hamilton Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 204 N Hamilton St, Richmond, Virginia |
| Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
| Authorized Official Contact | 2143793300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamilton Family Practice 1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 Ph: (214) 379-3300 | Hamilton Family Practice 204 N Hamilton St Suite B Richmond VA 23221-2662 Ph: (804) 353-1230 |
| NPI Number | 1255604674 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 07/29/2024 |
| Medicare PECOS PAC ID | 2769644533 |
|---|---|
| Medicare Enrollment ID | O20120424000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255604674 | NPI | - | NPPES |
| 1255604674 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101037152 (Virginia) | Primary |
| Provider Name | Annette S Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033173380 PECOS PAC ID: 8628092020 Enrollment ID: I20060125000136 |
| Provider Name | Erin Marie Deibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194238576 PECOS PAC ID: 1355600909 Enrollment ID: I20180105001407 |
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