Se Virginia Value Based Care, Llc - Medicare Primary Care in Norfolk, VA

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Se Virginia Value Based Care, Llc is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Norfolk, Virginia. The current practice location for Se Virginia Value Based Care, Llc is 6160 Kempsville Cir Ste 325a, Norfolk, Virginia. For appointments, you can reach them via phone at (757) 354-2885. The mailing address for Se Virginia Value Based Care, Llc is 6160 Kempsville Cir Ste 325a, Norfolk, Virginia and phone number is (757) 354-2885.

Se Virginia Value Based Care, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225720501. 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) 354-2885.

Contact Information

Se Virginia Value Based Care, Llc
6160 Kempsville Cir Ste 325a
Norfolk
VA 23502-3933
(757) 354-2885
(757) 917-5141

Map and Direction


Primary Care Clinic Profile

Full NameSe Virginia Value Based Care, Llc
SpecialityInternal Medicine
Location6160 Kempsville Cir Ste 325a, Norfolk, Virginia
Authorized Official Name and PositionChristine Kroetsch (PRACTICE ADMINISTRATOR)
Authorized Official Contact7579175246
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Se Virginia Value Based Care, Llc
6160 Kempsville Cir Ste 325a
Norfolk
VA 23502-3933

Ph: (757) 354-2885		Se Virginia Value Based Care, Llc
6160 Kempsville Cir Ste 325a
Norfolk
VA 23502-3933

Ph: (757) 354-2885

NPI Details:

NPI Number1225720501
Provider Enumeration Date05/24/2023
Last Update Date06/08/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6103288170
Medicare Enrollment IDO20230809000204

Medical Identifiers

Medical identifiers for Se Virginia Value Based Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225720501NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Se Virginia Value Based Care, Llc acts as a billing entity for following providers:
Provider NameGregg A Shivers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578502142
PECOS PAC ID: 6800792375
Enrollment ID: I20031208000654
Provider NameRaina Nyomi Winfrey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407893811
PECOS PAC ID: 4385543099
Enrollment ID: I20031231000687
Provider NameAmir Hajimomenian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497735112
PECOS PAC ID: 3577558527
Enrollment ID: I20040419000622
Provider NameNabil T. M. Tadros
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982684692
PECOS PAC ID: 8921088352
Enrollment ID: I20040724000351
Provider NameNeoma S George
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376630988
PECOS PAC ID: 9830169192
Enrollment ID: I20040727000007
Provider NameRoseanne Newman
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1265408736
PECOS PAC ID: 8628044468
Enrollment ID: I20040902001445
Provider NameRodrigo L C Romulo
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1467565614
PECOS PAC ID: 3870561590
Enrollment ID: I20040921000539
Provider NameMartha Mooney
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1902872203
PECOS PAC ID: 2466405188
Enrollment ID: I20050222000981
Provider NameVickie Lynn Armstrong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639159353
PECOS PAC ID: 9638122773
Enrollment ID: I20050301000274
Provider NameRichard Montague Hatch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871533448
PECOS PAC ID: 5395783385
Enrollment ID: I20050420000738
Provider NameBaher Anwar Basta
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1538130257
PECOS PAC ID: 6305878372
Enrollment ID: I20050910000074
Provider NameKathryn M Klump
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093736464
PECOS PAC ID: 8123028800
Enrollment ID: I20070102000484
Provider NameVikas Thakral
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407939713
PECOS PAC ID: 7719989367
Enrollment ID: I20070209000521
Provider NameGilda Niknezhad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245330190
PECOS PAC ID: 0941303507
Enrollment ID: I20070320000233
Provider NameSharon Petitjean
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497731301
PECOS PAC ID: 2264513100
Enrollment ID: I20080116000538
Provider NameLee Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831308964
PECOS PAC ID: 2163505272
Enrollment ID: I20080215000591
Provider NameSiddharth Khanna
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1225238611
PECOS PAC ID: 8628144433
Enrollment ID: I20080902000374
Provider NameLeena S Khanna
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033319421
PECOS PAC ID: 8224104039
Enrollment ID: I20080902000411
Provider NameSarala C Krishnagiri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598778664
PECOS PAC ID: 6406832187
Enrollment ID: I20081103000742
Provider NameJulie A Mclean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265630933
PECOS PAC ID: 6901999861
Enrollment ID: I20090520000299
Provider NameSharon A Goretsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093974214
PECOS PAC ID: 9739232752
Enrollment ID: I20090807000466
Provider NameMichelle H Mobley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386744258
PECOS PAC ID: 3476609827
Enrollment ID: I20090925000517
Provider NameRahel T Amare
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1982618211
PECOS PAC ID: 8325134653
Enrollment ID: I20091210000137
Provider NameMarilyn S Kellam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497740641
PECOS PAC ID: 1951482421
Enrollment ID: I20100225000438
Provider NameWilliam Hovland
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932189644
PECOS PAC ID: 5890728703
Enrollment ID: I20100428000558
Provider NameSean Regan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356321061
PECOS PAC ID: 5496883464
Enrollment ID: I20100512000643
Provider NameIlene Garnick Goldman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215965280
PECOS PAC ID: 6709789183
Enrollment ID: I20100723000607
Provider NameMustafa M Alaska
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1609086362
PECOS PAC ID: 3072795921
Enrollment ID: I20110314000601
Provider NameKavitha Tatineni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568754604
PECOS PAC ID: 5799961249
Enrollment ID: I20110517000617
Provider NameShirley Dodson-mcadoo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285873315
PECOS PAC ID: 7416005319
Enrollment ID: I20110518000451
Provider NameCarolyn E Ingram
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659660538
PECOS PAC ID: 9335326362
Enrollment ID: I20110531000558
Provider NameDaniel Cohen
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1780694448
PECOS PAC ID: 1153509146
Enrollment ID: I20110621000809
Provider NameRobert E Walters
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174503890
PECOS PAC ID: 2668559337
Enrollment ID: I20120105000247
Provider NameRichard L Hughes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528331121
PECOS PAC ID: 8224299821
Enrollment ID: I20120407000008
Provider NameSarah Kimberly Kosinski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982987301
PECOS PAC ID: 3274799184
Enrollment ID: I20120723000021
Provider NameRuth M Pence
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598085177
PECOS PAC ID: 9739332289
Enrollment ID: I20130111000116
Provider NameNathan J Davenport
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700156320
PECOS PAC ID: 8123269339
Enrollment ID: I20140618000930
Provider NameAmeanthea Rt Blanco Knezovich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003032095
PECOS PAC ID: 9830314400
Enrollment ID: I20140910002465
Provider NameSharon Nicola Bishop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326479031
PECOS PAC ID: 9335368505
Enrollment ID: I20140920000277
Provider NameNir Horev
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366860967
PECOS PAC ID: 0345469458
Enrollment ID: I20140922001393
Provider NameCraig Simmons Toxey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750670162
PECOS PAC ID: 1456571827
Enrollment ID: I20141007000888
Provider NameDonnamarie Lillian Mandara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679982177
PECOS PAC ID: 2365664315
Enrollment ID: I20141107000573
Provider NameKelli C Kneisel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477955367
PECOS PAC ID: 3173845799
Enrollment ID: I20141209001394
Provider NameTheresa M Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376933754
PECOS PAC ID: 9638497852
Enrollment ID: I20150417001297
Provider NameTatsiana Khalmanskaya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952725822
PECOS PAC ID: 0749501336
Enrollment ID: I20150608002371
Provider NameHeather Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992175095
PECOS PAC ID: 5496065849
Enrollment ID: I20151116000041
Provider NameHolly Jane Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205000718
PECOS PAC ID: 9830262633
Enrollment ID: I20151209002123
Provider NameSasha A Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942665054
PECOS PAC ID: 4284939307
Enrollment ID: I20160226000740
Provider NameJuanita M Norwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043616741
PECOS PAC ID: 4486948148
Enrollment ID: I20160803002787
Provider NameCaprice D Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821543257
PECOS PAC ID: 8628366531
Enrollment ID: I20161010000811
Provider NameRyan Allen Lusk
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1487099701
PECOS PAC ID: 6709196470
Enrollment ID: I20161012002152
Provider NameRocco J Basciano
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1952484651
PECOS PAC ID: 1658569066
Enrollment ID: I20161102002801
Provider NameKristel Denise Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841641503
PECOS PAC ID: 2466729991
Enrollment ID: I20170605000021
Provider NameJames K Radike
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1619948833
PECOS PAC ID: 2365622909
Enrollment ID: I20170619000446
Provider NameAllison S Emerson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902332828
PECOS PAC ID: 5799055927
Enrollment ID: I20170721000009
Provider NameKiriaki Anthis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144756909
PECOS PAC ID: 9830460351
Enrollment ID: I20170802000710
Provider NameMary Mallory
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629587530
PECOS PAC ID: 1951667450
Enrollment ID: I20171201000098
Provider NameIen A Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417448796
PECOS PAC ID: 8628327483
Enrollment ID: I20180828001475
Provider NameTrisha Migdalia Pascall-lopez
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1144616376
PECOS PAC ID: 6406167915
Enrollment ID: I20180913001192
Provider NameTemeka Shavonne Hathaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346739141
PECOS PAC ID: 2567713191
Enrollment ID: I20180920003136
Provider NameDanielle Alicia Cutler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083109581
PECOS PAC ID: 9335491604
Enrollment ID: I20181015002708
Provider NameLauren Michelle Feeney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669967832
PECOS PAC ID: 3274887823
Enrollment ID: I20181116001639
Provider NameKathleen Stornelli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275695793
PECOS PAC ID: 3577689959
Enrollment ID: I20190325000195
Provider NameTracy Forrester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760946172
PECOS PAC ID: 9638419823
Enrollment ID: I20190326002018
Provider NameKathryn Ann Ripley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952881948
PECOS PAC ID: 7315289220
Enrollment ID: I20190424003251
Provider NameKaterina Basiliadis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760941587
PECOS PAC ID: 5294068789
Enrollment ID: I20190617000838
Provider NameChristina Eks Holloway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215493119
PECOS PAC ID: 2769711647
Enrollment ID: I20190903002402
Provider NameErica Jane Canaday
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114575750
PECOS PAC ID: 4981935822
Enrollment ID: I20191008002277
Provider NameMargaret Newton Sassorossi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679128185
PECOS PAC ID: 9931439981
Enrollment ID: I20191021001010
Provider NameAshley Leigh Riffe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952962060
PECOS PAC ID: 3274864194
Enrollment ID: I20191021002455
Provider NameLeigh R Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225673585
PECOS PAC ID: 8022442623
Enrollment ID: I20200107000122
Provider NameJaime Lyn Dail
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073089249
PECOS PAC ID: 9537594783
Enrollment ID: I20200115002095
Provider NameAlfreda Curtis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356997613
PECOS PAC ID: 4587091780
Enrollment ID: I20200228000669
Provider NameCarrie Marie Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104464551
PECOS PAC ID: 7315375813
Enrollment ID: I20200317000057
Provider NameJennifer L Lemasters-stover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497385033
PECOS PAC ID: 9537597596
Enrollment ID: I20200325002209
Provider NameSandra Walker Nichols
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770749202
PECOS PAC ID: 0547304412
Enrollment ID: I20200330002712
Provider NameCarlita Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275170417
PECOS PAC ID: 6406286046
Enrollment ID: I20200506002183
Provider NameJessica Loren Rosa
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083234637
PECOS PAC ID: 2365873106
Enrollment ID: I20200512002611
Provider NameHolly Kristin Whiting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760008825
PECOS PAC ID: 5698192961
Enrollment ID: I20200901001881
Provider NameLaura Murphy Kitchens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710508734
PECOS PAC ID: 4587084330
Enrollment ID: I20201015001968
Provider NameChristine Elaine Russell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790322097
PECOS PAC ID: 5294155933
Enrollment ID: I20201019000305
Provider NameJason Rowe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699385849
PECOS PAC ID: 5799105227
Enrollment ID: I20201021001983
Provider NameDanielle Renea Taylor
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427307438
PECOS PAC ID: 0840602819
Enrollment ID: I20201216000191
Provider NameWhitney Witt Irvine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841893351
PECOS PAC ID: 2466866223
Enrollment ID: I20210208000272
Provider NameJohn Charles Rowe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508498676
PECOS PAC ID: 6507267218
Enrollment ID: I20210701000109
Provider NameHayley Hawkins Fletcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750954848
PECOS PAC ID: 8820493505
Enrollment ID: I20210818001603
Provider NameDiana Leigh Webster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861000440
PECOS PAC ID: 1557750163
Enrollment ID: I20211119000011
Provider NameAlice Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043811144
PECOS PAC ID: 2860807005
Enrollment ID: I20220425002356
Provider NameLisa Alane Fermil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033864392
PECOS PAC ID: 2163801226
Enrollment ID: I20220620001497
Provider NameJennifer Leigh Armijo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285282368
PECOS PAC ID: 0446633192
Enrollment ID: I20220813000628
Provider NameChristy Sorey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891427357
PECOS PAC ID: 4880077338
Enrollment ID: I20220816000728
Provider NameSarah J Mcbride
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780321992
PECOS PAC ID: 1355726639
Enrollment ID: I20220922003032
Provider NameSierra Berg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902524929
PECOS PAC ID: 4284002395
Enrollment ID: I20221122000142
Provider NameDarya Belyayeva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265160683
PECOS PAC ID: 3173991015
Enrollment ID: I20221123002593
Provider NameCrystal Schwartzbeck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982312088
PECOS PAC ID: 3072982917
Enrollment ID: I20221215000574
Provider NameLena Villanueva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912617812
PECOS PAC ID: 0143691741
Enrollment ID: I20230118001833
Provider NameAshley Maddrey-boyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811618697
PECOS PAC ID: 6002292927
Enrollment ID: I20230222000624
Provider NameCarri Jo Mcknight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851005276
PECOS PAC ID: 9638542475
Enrollment ID: I20230227001681
Provider NameElina Sergeyevna Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912472713
PECOS PAC ID: 6305210105
Enrollment ID: I20230317001625
Provider NameLawanda Judge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932696861
PECOS PAC ID: 9133512205
Enrollment ID: I20230426000511
Provider NameSarah Burbidge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013623743
PECOS PAC ID: 5799143525
Enrollment ID: I20230626002991
Provider NameCamille Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518645282
PECOS PAC ID: 0749641231
Enrollment ID: I20230731003739
Provider NameSarah Willard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831870286
PECOS PAC ID: 8628430337
Enrollment ID: I20230811002970
Provider NameAlice Baillio-hanchey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700669363
PECOS PAC ID: 7618322926
Enrollment ID: I20231005003619
Provider NameTherese Nicole Morin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316721608
PECOS PAC ID: 1355790908
Enrollment ID: I20231208000757
Provider NameTara Higginbotham Rouse
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790555621
PECOS PAC ID: 9931550043
Enrollment ID: I20240112001227
Provider NameTaneisha Patrice Gayles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396512950
PECOS PAC ID: 4587016068
Enrollment ID: I20240119003166
Provider NameGilbert Abare
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508623646
PECOS PAC ID: 1557700952
Enrollment ID: I20240418001057

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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.