| Xiao Hong Jin Md | |
|
15 Goodrich Ave Petersburg VA 23805-2119 | |
| (804) 732-0618 | |
| (804) 861-6846 |
| Full Name | Xiao Hong Jin Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Goodrich Ave, Petersburg, Virginia |
| Authorized Official Name and Position | Xiao Hong Jin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8047320618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xiao Hong Jin Md 11619 Riverboat Dr Chester VA 23836-5438 Ph: (804) 943-3695 | Xiao Hong Jin Md 15 Goodrich Ave Petersburg VA 23805-2119 Ph: (804) 732-0618 |
| NPI Number | 1467800599 |
|---|---|
| Provider Enumeration Date | 05/31/2016 |
| Last Update Date | 01/30/2023 |
| Medicare PECOS PAC ID | 9133408438 |
|---|---|
| Medicare Enrollment ID | O20161109000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467800599 | NPI | - | NPPES |
| 1679766752 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Xiao H Jin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679766752 PECOS PAC ID: 9739247529 Enrollment ID: I20090224000267 |
Physician Associates Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 S Sycamore St, Petersburg, VA 23803 Phone: 804-733-8821 Fax: 804-861-4365 | |
Vanessa O. Johnson,m.d.,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Medical Park Boulevard, Suite B, Petersburg, VA 23805 Phone: 804-732-7100 Fax: 804-732-7101 | |
Back Pain Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 S Crater Rd, Petersburg, VA 23805 Phone: 804-733-6870 Fax: 804-226-9496 | |
Bon Secours Freedom Healthcare Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 W Washington St, Suite B, Petersburg, VA 23803 Phone: 804-431-3400 Fax: 804-733-3858 | |
Cvhs Downtown Petersburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 S Union St, Petersburg, VA 23803 Phone: 804-957-9601 Fax: 804-957-5850 | |
Alliance Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Liberty St, Petersburg, VA 23803 Phone: 804-862-2878 Fax: 804-862-2879 | |
Emily Ashley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3335 S Crater Rd, Petersburg, VA 23805 Phone: 804-765-5445 |