Legacy Care Llc - Medicare Primary Care in Virginia Beach, VA

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Legacy Care Llc is a medicare enrolled primary clinic (Family Medicine) in Virginia Beach, Virginia. The current practice location for Legacy Care Llc is 2901 S Lynnhaven Rd Ste 450, Virginia Beach, Virginia. For appointments, you can reach them via phone at (833) 815-2200. The mailing address for Legacy Care Llc is Po Box 645986, Pittsburgh, Pennsylvania and phone number is () -.

Legacy Care Llc is licensed to practice in Virginia (license number ). The clinic also participates in the medicare program and its NPI number is 1902149776. 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 (833) 815-2200.

Contact Information

Legacy Care Llc
2901 S Lynnhaven Rd Ste 450
Virginia Beach
VA 23452-8524
(833) 815-2200
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLegacy Care Llc
SpecialityFamily Medicine
Location2901 S Lynnhaven Rd Ste 450, Virginia Beach, Virginia
Authorized Official Name and PositionDesi-rae Hall (DELEGATED OFFICIAL)
Authorized Official Contact7572519419
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Care Llc
Po Box 645986
Pittsburgh
PA 15264-5257

Ph: () -		Legacy Care Llc
2901 S Lynnhaven Rd Ste 450
Virginia Beach
VA 23452-8524

Ph: (833) 815-2200

NPI Details:

NPI Number1902149776
Provider Enumeration Date03/30/2013
Last Update Date08/14/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0042458200
Medicare Enrollment IDO20130529000542

Medical Identifiers

Medical identifiers for Legacy Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902149776NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Virginia)Primary
363L00000XNurse Practitioner (Virginia)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legacy Care Llc acts as a billing entity for following providers:
Provider NameAmjad Mughal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790862746
PECOS PAC ID: 0244227981
Enrollment ID: I20040426001925
Provider NameNiraj Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932145422
PECOS PAC ID: 8628069382
Enrollment ID: I20040520001316
Provider NameVarun Choudhary
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215915434
PECOS PAC ID: 9032196720
Enrollment ID: I20040701000036
Provider NameMichael Perini
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841238045
PECOS PAC ID: 0345227435
Enrollment ID: I20040707000286
Provider NameRex D Biedenbender
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1184696148
PECOS PAC ID: 4880660620
Enrollment ID: I20040902001460
Provider NameGerard Abate
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669565636
PECOS PAC ID: 4981664596
Enrollment ID: I20041018000365
Provider NameRumki C Banerjee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871702712
PECOS PAC ID: 1850487661
Enrollment ID: I20071009000935
Provider NameFrancis M Taylor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336222157
PECOS PAC ID: 0648233395
Enrollment ID: I20071101000171
Provider NameJesus A Martinez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588616908
PECOS PAC ID: 8224924964
Enrollment ID: I20071213000272
Provider NameRonald O Forbes
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1023096583
PECOS PAC ID: 6305920117
Enrollment ID: I20080303000425
Provider NameDanny W Felty
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730164971
PECOS PAC ID: 8729163522
Enrollment ID: I20080304000295
Provider NameHelen Habtemichael
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235320854
PECOS PAC ID: 6103904412
Enrollment ID: I20080425000522
Provider NameVanessa Peyton Fowlkes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467477273
PECOS PAC ID: 6800970047
Enrollment ID: I20090928000690
Provider NameCynthia Blain Bettinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548239916
PECOS PAC ID: 8527108125
Enrollment ID: I20091211000451
Provider NameColeen P Kenny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811071905
PECOS PAC ID: 9335283613
Enrollment ID: I20100224000866
Provider NameBeverly S.a Roberts
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437250792
PECOS PAC ID: 6507991635
Enrollment ID: I20100315000916
Provider NameKristina B Alley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497044143
PECOS PAC ID: 5799963138
Enrollment ID: I20110707000107
Provider NamePauravi Sanghadia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609946201
PECOS PAC ID: 0446357214
Enrollment ID: I20110804000511
Provider NameMark J Hippenstiel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265497838
PECOS PAC ID: 6103919139
Enrollment ID: I20111206000625
Provider NameKathleen Marie Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104157650
PECOS PAC ID: 3375700446
Enrollment ID: I20120201000021
Provider NamePatricia L Schmitz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578668398
PECOS PAC ID: 9739134966
Enrollment ID: I20120206000029
Provider NameRuby M Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831467489
PECOS PAC ID: 9830359769
Enrollment ID: I20120329000561
Provider NameMelissa L Stanley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083988778
PECOS PAC ID: 4587825898
Enrollment ID: I20120413000153
Provider NameHeather Dawn Mullen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124356290
PECOS PAC ID: 6204072135
Enrollment ID: I20130617000063
Provider NameCathy A Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881033199
PECOS PAC ID: 3072756493
Enrollment ID: I20130903000627
Provider NameCandice Shirlen Hughes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376864496
PECOS PAC ID: 8022255991
Enrollment ID: I20131015000027
Provider NameJared D March
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073834156
PECOS PAC ID: 4789831595
Enrollment ID: I20131030001895
Provider NameTeashia G Roeske
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689053142
PECOS PAC ID: 6901119080
Enrollment ID: I20150717002254
Provider NameFei Han
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669837118
PECOS PAC ID: 1850694423
Enrollment ID: I20160115000024
Provider NameKedest Gebreselassie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265897391
PECOS PAC ID: 0941503932
Enrollment ID: I20160126000557
Provider NameDarshana Chadda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194920140
PECOS PAC ID: 1456496850
Enrollment ID: I20160610000695
Provider NameJaimie S Tahir
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528420544
PECOS PAC ID: 7719270503
Enrollment ID: I20160802000549
Provider NameN'deevaw Artis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194177527
PECOS PAC ID: 1153616982
Enrollment ID: I20160906002456
Provider NameAnna M Kutcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083940738
PECOS PAC ID: 4688961550
Enrollment ID: I20160920001876
Provider NameKali Mcmurray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659825107
PECOS PAC ID: 8123306297
Enrollment ID: I20161024002115
Provider NameGernita Lazale Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831574177
PECOS PAC ID: 0547560930
Enrollment ID: I20161107000156
Provider NameJulie A Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811446412
PECOS PAC ID: 5799065496
Enrollment ID: I20161215002066
Provider NameVanessa P Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902348121
PECOS PAC ID: 3971885096
Enrollment ID: I20170126000137
Provider NameEdwan Tifuh Mayo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508213398
PECOS PAC ID: 6608159363
Enrollment ID: I20170203001785
Provider NameDarniesha Greene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710427653
PECOS PAC ID: 4789961350
Enrollment ID: I20170509000537
Provider NameKristel Denise Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841641503
PECOS PAC ID: 2466729991
Enrollment ID: I20170605000021
Provider NameJacqueline Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124109624
PECOS PAC ID: 8123393956
Enrollment ID: I20180104000585
Provider NameJennifer Latasha Fields
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447765573
PECOS PAC ID: 6800150004
Enrollment ID: I20180515001687
Provider NameChassitie Gomez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720574726
PECOS PAC ID: 1153671011
Enrollment ID: I20180913003435
Provider NameTilahun Goshu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336628551
PECOS PAC ID: 2567700107
Enrollment ID: I20190206002779
Provider NameAlysha Nicole Bugg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619435534
PECOS PAC ID: 4284977174
Enrollment ID: I20190516000711
Provider NameJoanne Emilia Sproule
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528551728
PECOS PAC ID: 4880928886
Enrollment ID: I20190625003075
Provider NameAmanda R Welch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134627169
PECOS PAC ID: 3779828421
Enrollment ID: I20190917003780
Provider NameJennifer Nicole Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134756802
PECOS PAC ID: 1850722596
Enrollment ID: I20200512002902
Provider NameKatina Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023628534
PECOS PAC ID: 2668884040
Enrollment ID: I20201208002179
Provider NameMargarita Maria Marmolejo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760035810
PECOS PAC ID: 9032524764
Enrollment ID: I20210210002252
Provider NameMichelle Lazarus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336782788
PECOS PAC ID: 6507294436
Enrollment ID: I20210212000186
Provider NameKenjilyn Uchida Ares
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932708971
PECOS PAC ID: 8820403025
Enrollment ID: I20210222001547
Provider NameSheena Althea Lyle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396297875
PECOS PAC ID: 1951701499
Enrollment ID: I20210621001745
Provider NameDoris T Mbony
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528326337
PECOS PAC ID: 9032539267
Enrollment ID: I20210714000816
Provider NameMarquail Mcbride
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659943843
PECOS PAC ID: 3375933773
Enrollment ID: I20211129000724
Provider NameHaise S Reardon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851065684
PECOS PAC ID: 1557756210
Enrollment ID: I20220315002146
Provider NameStacie Pittman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144899592
PECOS PAC ID: 3870980758
Enrollment ID: I20220422001695
Provider NameDavid Toshio Eki
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215438221
PECOS PAC ID: 7517354145
Enrollment ID: I20220504002163
Provider NameYunique Carrington Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598406746
PECOS PAC ID: 0042691685
Enrollment ID: I20220713004390
Provider NameMatthew Spinks
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1861704108
PECOS PAC ID: 3577792076
Enrollment ID: I20220817002122
Provider NameIris Nagin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043398340
PECOS PAC ID: 0941377725
Enrollment ID: I20220818000437
Provider NameArnel Agravante Lacerna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912636481
PECOS PAC ID: 9830565464
Enrollment ID: I20221021001658
Provider NameMelanie R De Jesus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346978475
PECOS PAC ID: 4183093974
Enrollment ID: I20221219001025
Provider NameDanielle Gresham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679299556
PECOS PAC ID: 4880064567
Enrollment ID: I20221222000361
Provider NameAngela Harris-bonner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134566334
PECOS PAC ID: 6002281797
Enrollment ID: I20230411002217
Provider NameJeffrey S Colburn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780979211
PECOS PAC ID: 8022261692
Enrollment ID: I20230523003477
Provider NameOlatunde Akinfolajimi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295423887
PECOS PAC ID: 7719346733
Enrollment ID: I20230707002761
Provider NameTracey A Yeboah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902430986
PECOS PAC ID: 8527420561
Enrollment ID: I20230808003228
Provider NameMonica Latoya Alade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396520318
PECOS PAC ID: 7214382829
Enrollment ID: I20231017000183
Provider NameJonathan M Snipes
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1821250077
PECOS PAC ID: 8123298254
Enrollment ID: I20231121004035
Provider NameSarah Brock Tubaugh
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316712540
PECOS PAC ID: 8729483326
Enrollment ID: I20231130002033
Provider NameManju T Jose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023885373
PECOS PAC ID: 5698125029
Enrollment ID: I20240109000113
Provider NameCarol Taliaferro
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043484488
PECOS PAC ID: 1951582279
Enrollment ID: I20240227003639
Provider NameKyle Scaggs
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861261109
PECOS PAC ID: 3577909621
Enrollment ID: I20240311003885
Provider NameShannon Denise Brackett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639946643
PECOS PAC ID: 7214374941
Enrollment ID: I20240318001865
Provider NameMarjorie Barbour
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750515953
PECOS PAC ID: 7517305329
Enrollment ID: I20240329000050
Provider NameBrittney Danielle Blowe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942851514
PECOS PAC ID: 3072047497
Enrollment ID: I20241107003055

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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.