Short Pump Family Care, Llc - Medicare Primary Care in Midlothian, VA

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Short Pump Family Care, Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Midlothian, Virginia. The current practice location for Short Pump Family Care, Llc is 12731 Stone Village Way, Midlothian, Virginia. For appointments, you can reach them via phone at (804) 379-1500. The mailing address for Short Pump Family Care, Llc is 12731 Stone Village Way, Midlothian, Virginia and phone number is () -.

Short Pump Family Care, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1487068334. 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 (804) 379-1500.

Contact Information

Short Pump Family Care, Llc
12731 Stone Village Way
Midlothian
VA 23113-2722
(804) 379-1500
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameShort Pump Family Care, Llc
SpecialityClinic/Center
Location12731 Stone Village Way, Midlothian, Virginia
Authorized Official Name and PositionCindy Gilliam (OFFICE MANAGER)
Authorized Official Contact3362229299
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Short Pump Family Care, Llc
12731 Stone Village Way
Midlothian
VA 23113-2722

Ph: () -		Short Pump Family Care, Llc
12731 Stone Village Way
Midlothian
VA 23113-2722

Ph: (804) 379-1500

NPI Details:

NPI Number1487068334
Provider Enumeration Date06/19/2014
Last Update Date04/08/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7618278516
Medicare Enrollment IDO20151218000775

Medical Identifiers

Medical identifiers for Short Pump Family Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487068334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (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. Short Pump Family Care, Llc acts as a billing entity for following providers:
Provider NameCharles Edwin Shaffer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376572248
PECOS PAC ID: 6507778693
Enrollment ID: I20031105000768
Provider NameZelda West Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801933007
PECOS PAC ID: 1153310073
Enrollment ID: I20040506001747
Provider NameJohn Timothy Carmack
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023034972
PECOS PAC ID: 4789663964
Enrollment ID: I20040720000703
Provider NameRussell A Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447205554
PECOS PAC ID: 8820032089
Enrollment ID: I20050617000668
Provider NameCynthia J Booten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003989351
PECOS PAC ID: 7416973045
Enrollment ID: I20051021000713
Provider NameValerie L Jaskowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588853824
PECOS PAC ID: 4880774611
Enrollment ID: I20080107000593
Provider NameKaren M Capshaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275795676
PECOS PAC ID: 9335205269
Enrollment ID: I20090312000337
Provider NameShahid Aman Waraich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225296502
PECOS PAC ID: 4880758499
Enrollment ID: I20090812000576
Provider NameMichael T Moran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942397963
PECOS PAC ID: 4587718804
Enrollment ID: I20090820000218
Provider NameLatania Michelle Akers-white
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750571691
PECOS PAC ID: 4688854383
Enrollment ID: I20110214000215
Provider NameConstantine N Chienku
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831139336
PECOS PAC ID: 4385829902
Enrollment ID: I20110426000300
Provider NameSarah H Lewis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831358654
PECOS PAC ID: 4688846157
Enrollment ID: I20111005000046
Provider NameMerissa L Costello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780845362
PECOS PAC ID: 8325207764
Enrollment ID: I20120305000565
Provider NameSuzanne M Paul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710222567
PECOS PAC ID: 5698913259
Enrollment ID: I20130521000631
Provider NameWhitney H Pugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235467572
PECOS PAC ID: 5890820948
Enrollment ID: I20130618000471
Provider NameMichael Rowland
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992791081
PECOS PAC ID: 0345133393
Enrollment ID: I20140128001784
Provider NameGail L Arrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538598305
PECOS PAC ID: 7012146145
Enrollment ID: I20140212000638
Provider NameMichael Q Coggin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942602008
PECOS PAC ID: 2062735152
Enrollment ID: I20141222000859
Provider NameHeather Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013376011
PECOS PAC ID: 7911296827
Enrollment ID: I20160517000709
Provider NameNicole Cole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538604210
PECOS PAC ID: 5698050581
Enrollment ID: I20170315001649
Provider NameAlexia M Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821455320
PECOS PAC ID: 4587960141
Enrollment ID: I20170524002522
Provider NameAnanthanayaki Saravanan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780123505
PECOS PAC ID: 6901177260
Enrollment ID: I20170803003658
Provider NameAugustine U Nyeche
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053869875
PECOS PAC ID: 2567723091
Enrollment ID: I20180226001874
Provider NameMary Darleen Richardson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013318211
PECOS PAC ID: 7012230667
Enrollment ID: I20180612001143
Provider NameCynthia Robbs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457874786
PECOS PAC ID: 0749554798
Enrollment ID: I20180910000433
Provider NameTracy Lynn Schuler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891247508
PECOS PAC ID: 7810278116
Enrollment ID: I20190326001554
Provider NameWhitney Dijon Archie-patrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114497013
PECOS PAC ID: 9436482643
Enrollment ID: I20190603002079
Provider NameTishambay Denise Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598093072
PECOS PAC ID: 8820322977
Enrollment ID: I20190625000578
Provider NameDiane Lynn Alvarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588165591
PECOS PAC ID: 2466886726
Enrollment ID: I20191220000331
Provider NameRehana Sultana Kazi Glod
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013273820
PECOS PAC ID: 1951566850
Enrollment ID: I20200408004563
Provider NameJulianne Tondreau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386047223
PECOS PAC ID: 2264733021
Enrollment ID: I20200615002955
Provider NameKatina Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023628534
PECOS PAC ID: 2668884040
Enrollment ID: I20201208002179
Provider NameRachal Michelle Crum
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407385511
PECOS PAC ID: 5193145514
Enrollment ID: I20201221000413
Provider NameErin Lee Stratton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386070902
PECOS PAC ID: 8123420510
Enrollment ID: I20210707003375
Provider NameSwathi Reddy Ala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881200640
PECOS PAC ID: 8527465293
Enrollment ID: I20210922002241
Provider NameJulia Montgomery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609547660
PECOS PAC ID: 3274922612
Enrollment ID: I20211105000908
Provider NameMarquail Mcbride
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659943843
PECOS PAC ID: 3375933773
Enrollment ID: I20211129000724
Provider NameAlice I Solademi Dunkle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083144208
PECOS PAC ID: 5890044333
Enrollment ID: I20220419000483
Provider NameEllen J Scarlett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164019352
PECOS PAC ID: 5193102077
Enrollment ID: I20220514000208
Provider NameOlguerline Lamousnery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356756068
PECOS PAC ID: 9739559048
Enrollment ID: I20230103001047
Provider NameAfua Acheampong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942996665
PECOS PAC ID: 8325401771
Enrollment ID: I20230831004092

Reviews and Comments


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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.