- Medicare Primary Care in Aylett, VA

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is a medicare enrolled primary clinic (Clinic/center) in Aylett, Virginia. The current practice location for is 7864 Richmond Tappahannock Hwy, Aylett, Virginia. For appointments, you can reach them via phone at (804) 769-2015. The mailing address for is 13476 King William Rd, King William, Virginia and phone number is (804) 769-0041.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1750969168. 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) 769-2015.

Contact Information

7864 Richmond Tappahannock Hwy
Aylett
VA 23009-3056
(804) 769-2015
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location7864 Richmond Tappahannock Hwy, Aylett, Virginia
Authorized Official Name and PositionSteven Tupponce (DIRECTOR)
Authorized Official Contact8043474109
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

13476 King William Rd
King William
VA 23086-3401

Ph: (804) 769-0041
7864 Richmond Tappahannock Hwy
Aylett
VA 23009-3056

Ph: (804) 769-2015

NPI Details:

NPI Number1750969168
Provider Enumeration Date03/30/2021
Last Update Date11/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4880091446
Medicare Enrollment IDO20210923002671

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750969168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261Q00000XClinic/center (* (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. acts as a billing entity for following providers:
Provider NameAlan K Tupponce
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1578651089
PECOS PAC ID: 0547398786
Enrollment ID: I20100510000665
Provider NameJames H Towe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588658108
PECOS PAC ID: 8325012305
Enrollment ID: I20210923002941
Provider NameIrene Molyneux Temple
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174664429
PECOS PAC ID: 6709823081
Enrollment ID: I20241009001250
Provider NameCaitlin Mackenzie O'conner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811732399
PECOS PAC ID: 6800328212
Enrollment ID: I20241010000261
Provider NameJoynita Nicholson
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1265462782
PECOS PAC ID: 5395718571
Enrollment ID: I20241015004748
Provider NameLori Ha
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1750722682
PECOS PAC ID: 4587933213
Enrollment ID: I20241104001455
Provider NameRaven Custalow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669955019
PECOS PAC ID: 0840543013
Enrollment ID: I20241104002126

Reviews and Comments


Clinic/Center in Aylett, VA


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 11814 King William Rd, Aylett, VA 23009
Phone: 804-769-3022    Fax: 804-769-1253

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.