| Workit Health Mi Pllc | |
|
3001 Hungary Spring Rd Ste C Henrico VA 23228-2428 | |
| (804) 415-7156 | |
| (804) 420-2854 |
| Full Name | Workit Health Mi Pllc |
|---|---|
| Speciality | General Practice |
| Location | 3001 Hungary Spring Rd Ste C, Henrico, Virginia |
| Authorized Official Name and Position | Lindsay Barker (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7343730849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Workit Health Mi Pllc 3300 Washtenaw Ave Ste 280 Ann Arbor MI 48104-5184 Ph: (941) 539-9889 | Workit Health Mi Pllc 3001 Hungary Spring Rd Ste C Henrico VA 23228-2428 Ph: (804) 415-7156 |
| NPI Number | 1013686989 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 07/23/2024 |
| Medicare PECOS PAC ID | 6406101625 |
|---|---|
| Medicare Enrollment ID | O20220307001614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013686989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Donna Ann Baldassare |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962662478 PECOS PAC ID: 9638305758 Enrollment ID: I20131120001069 |
| Provider Name | Lori A Bannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073962890 PECOS PAC ID: 3375838915 Enrollment ID: I20160822002873 |
| Provider Name | Karen O Agyare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356906861 PECOS PAC ID: 7315271335 Enrollment ID: I20190625003689 |
| Provider Name | Ashley Gomez Caley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851976633 PECOS PAC ID: 0345636601 Enrollment ID: I20220413002093 |
| Provider Name | Stacey White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013689363 PECOS PAC ID: 9931596962 Enrollment ID: I20220421001979 |
| Provider Name | Randi Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134572985 PECOS PAC ID: 4789062118 Enrollment ID: I20220525003007 |
| Provider Name | Stacy Tavenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710535091 PECOS PAC ID: 9032588975 Enrollment ID: I20221215000698 |
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