| |
2500 Gaskins Rd Ste A Richmond VA 23238-1480 | |
(804) 774-7099 | |
(804) 528-5864 |
Full Name | |
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Speciality | Family Medicine |
Location | 2500 Gaskins Rd Ste A, Richmond, Virginia |
Authorized Official Name and Position | Neal H Carl (PHYSICIAN) |
Authorized Official Contact | 8047747099 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2500 Gaskins Road Suite A Richmond VA 23238 Ph: (804) 774-7099 | 2500 Gaskins Rd Ste A Richmond VA 23238-1480 Ph: (804) 774-7099 |
NPI Number | 1154832582 |
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Provider Enumeration Date | 10/12/2017 |
Last Update Date | 03/29/2023 |
Medicare PECOS PAC ID | 1052677754 |
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Medicare Enrollment ID | O20171114000422 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154832582 | NPI | - | NPPES |
7836242 | Other | VA | AETNA |
200044896220 | Other | VA | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101102633 (Virginia) | Primary |
261QP2300X | Clinic/center - Primary Care | 0101102633 (Virginia) | Secondary |
Provider Name | Brett M Law |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457318693 PECOS PAC ID: 2567446453 Enrollment ID: I20040617000422 |
Provider Name | Joynita Nicholson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265462782 PECOS PAC ID: 5395718571 Enrollment ID: I20040816001305 |
Provider Name | Tasha B Dickerson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255412052 PECOS PAC ID: 3476571860 Enrollment ID: I20051103001021 |
Provider Name | Martha Litos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164495537 PECOS PAC ID: 2062512601 Enrollment ID: I20070711000397 |
Provider Name | Elizabeth Ann Miller |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265653414 PECOS PAC ID: 1456445261 Enrollment ID: I20070924000332 |
Provider Name | Neal H Carl |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265417406 PECOS PAC ID: 8123080777 Enrollment ID: I20080331000130 |
Provider Name | Olivia A Mansilla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376563189 PECOS PAC ID: 3971668476 Enrollment ID: I20090217000563 |
Provider Name | Mary L Colfer |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093855983 PECOS PAC ID: 8224018031 Enrollment ID: I20110428000017 |
Provider Name | Jennifer Chung |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831489566 PECOS PAC ID: 7214158211 Enrollment ID: I20220726001418 |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |