| Minor Emergency And Family Care Center | |
|
1368 N Great Neck Rd Virginia Beach VA 23454-2230 | |
| (757) 412-0006 | |
| Not Available |
| Full Name | Minor Emergency And Family Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1368 N Great Neck Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Glenn Mcdermott (OWNER) |
| Authorized Official Contact | 7573753275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minor Emergency And Family Care Center 1368 N Great Neck Rd Virginia Beach VA 23454-2230 Ph: (757) 412-0006 | Minor Emergency And Family Care Center 1368 N Great Neck Rd Virginia Beach VA 23454-2230 Ph: (757) 412-0006 |
| NPI Number | 1457641540 |
|---|---|
| Provider Enumeration Date | 04/11/2011 |
| Last Update Date | 04/11/2011 |
| Medicare PECOS PAC ID | 4688852395 |
|---|---|
| Medicare Enrollment ID | O20110628000912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457641540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101034588 (Virginia) | Primary |
| Provider Name | Glenn R Mcdermott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447261862 PECOS PAC ID: 6709881741 Enrollment ID: I20080425000498 |
| Provider Name | Dorothy Tadder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700075926 PECOS PAC ID: 3678642980 Enrollment ID: I20080513000215 |
| Provider Name | Nancy Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285033944 PECOS PAC ID: 4284955170 Enrollment ID: I20150603002636 |
| Provider Name | Bryna M Geary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285047605 PECOS PAC ID: 4284955576 Enrollment ID: I20150611003359 |
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