- Medicare Primary Care in Richmond, VA

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Richmond, Virginia. The current practice location for is 2809 North Ave, Richmond, Virginia. For appointments, you can reach them via phone at (804) 780-0840. The mailing address for is 2809 North Ave, Richmond, Virginia and phone number is (804) 780-0840.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1295707966. 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) 780-0840.

Contact Information

2809 North Ave
Richmond
VA 23222-3647
(804) 780-0840
(804) 780-0862

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location2809 North Ave, Richmond, Virginia
Authorized Official Name and PositionTracy Causey (CEO)
Authorized Official Contact8047800840
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2809 North Ave
Richmond
VA 23222-3647

Ph: (804) 780-0840
2809 North Ave
Richmond
VA 23222-3647

Ph: (804) 780-0840

NPI Details:

NPI Number1295707966
Provider Enumeration Date02/06/2006
Last Update Date08/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID9638064850
Medicare Enrollment IDO20040217000877

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295707966NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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 NameTorino R Jennings
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225149750
PECOS PAC ID: 4385625300
Enrollment ID: I20040526000723
Provider NameMalinda A Brooks Williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598777997
PECOS PAC ID: 0749256279
Enrollment ID: I20040907000928
Provider NameMartha C Purvis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679552533
PECOS PAC ID: 6103861216
Enrollment ID: I20050620000990
Provider NameDianne L Reynolds Cane
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1326096611
PECOS PAC ID: 1658479266
Enrollment ID: I20070605000635
Provider NameLeon Junius Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174535009
PECOS PAC ID: 0941367635
Enrollment ID: I20090325000056
Provider NameMichelle Y Whitehurst-cook
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295816825
PECOS PAC ID: 8123169844
Enrollment ID: I20100104000282
Provider NameSultan A Lakhani
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1114975471
PECOS PAC ID: 5395887103
Enrollment ID: I20100116000085
Provider NameArcher Lewis Baskerville
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1285611335
PECOS PAC ID: 5597767186
Enrollment ID: I20110427000209
Provider NameSarah E Deboer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578707410
PECOS PAC ID: 4082860648
Enrollment ID: I20120814000418
Provider NameDayna M Vango
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336313253
PECOS PAC ID: 5698087021
Enrollment ID: I20150629000080
Provider NameMara J Dominguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700268745
PECOS PAC ID: 4688956311
Enrollment ID: I20170112003010
Provider NameNicole Cole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538604210
PECOS PAC ID: 5698050581
Enrollment ID: I20170315001649
Provider NameJessica M Tate
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1295384147
PECOS PAC ID: 0345673919
Enrollment ID: I20191212001509
Provider NameJames Jenkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023002177
PECOS PAC ID: 0547169500
Enrollment ID: I20200413002340
Provider NameAmy Starlite Huddle-thomason
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164780821
PECOS PAC ID: 4688004393
Enrollment ID: I20200421001305
Provider NameSeleste Upshaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710542717
PECOS PAC ID: 4880929496
Enrollment ID: I20200828001817
Provider NameCatherine Goodall
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215356126
PECOS PAC ID: 0345462826
Enrollment ID: I20201104001767
Provider NameEdith A Schafer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952501017
PECOS PAC ID: 9234384900
Enrollment ID: I20210303000685
Provider NameSaima Panjwani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124607106
PECOS PAC ID: 6002224847
Enrollment ID: I20210416000610
Provider NameAngela Gail Biggs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790449023
PECOS PAC ID: 5193111805
Enrollment ID: I20220406000735
Provider NameRita Denise Wilson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225563240
PECOS PAC ID: 9638561590
Enrollment ID: I20220502000994
Provider NameChristie Wetzel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689622722
PECOS PAC ID: 1355375049
Enrollment ID: I20220503000321
Provider NameBrittany Denise Hart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811752074
PECOS PAC ID: 5193266161
Enrollment ID: I20240917004553
Provider NameCrystal Lashawn Ealy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538631932
PECOS PAC ID: 9638610926
Enrollment ID: I20240926002929
Provider NameHanna A Varno
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1316432743
PECOS PAC ID: 7012440852
Enrollment ID: I20241031002073
Provider NameStephanie Wesch Ferguson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801917414
PECOS PAC ID: 8224562152
Enrollment ID: I20241114000734
Provider NamePatricia Reed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750856324
PECOS PAC ID: 7113263989
Enrollment ID: I20241204000062
Provider NameTehrim Naseer
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1730740978
PECOS PAC ID: 4082009188
Enrollment ID: I20241212001353

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.