<unavail> in Norfolk, VA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Norfolk, Virginia. The current practice location for is 804 Whitaker Ln, Norfolk, Virginia. For appointments, you can reach them via phone at (757) 393-6363. The mailing address for is 1541 High St, Portsmouth, Virginia and phone number is (757) 393-6363.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235484544. 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 (757) 393-6363.

Contact Information


	804 Whitaker Ln Norfolk VA 23510-3027
	(757) 393-6363
	(757) 397-0047

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	804 Whitaker Ln, Norfolk, Virginia
Authorized Official Name and Position	Barbara Willis (CEO)
Authorized Official Contact	7573936363
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1541 High St Portsmouth VA 23704-3209 Ph: (757) 393-6363	804 Whitaker Ln Norfolk VA 23510-3027 Ph: (757) 393-6363

NPI Details:

NPI Number	1235484544
Provider Enumeration Date	07/24/2012
Last Update Date	02/23/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	1052301835
Medicare Enrollment ID	O20121107000426

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235484544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Norfolk, VA

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- Medicare Primary Care in Norfolk, VA