Dr Madeline Anne Ivanchenko, PHD | |
2342 Colony Crossing Pl, Midlothian, VA 23112-4280 | |
(804) 639-1112 | |
Not Available |
Full Name | Dr Madeline Anne Ivanchenko |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 2342 Colony Crossing Pl, Midlothian, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730480740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810004312 (Virginia) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Madeline Anne Ivanchenko, PHD 9097 Atlee Station Rd, Suite 219, Mechanicsville, VA 23116-2525 Ph: (804) 730-0432 | Dr Madeline Anne Ivanchenko, PHD 2342 Colony Crossing Pl, Midlothian, VA 23112-4280 Ph: (804) 639-1112 |
Andra Less, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13900 Hull Street Rd, Midlothian, VA 23112 Phone: 804-639-8900 | |
Shalisa Harrison, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13900 Hull Street Rd, Midlothian, VA 23112 Phone: 804-639-8788 | |
Dr. Jihad Aziz, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4520 Heidi Turn, Midlothian, VA 23112 Phone: 804-852-1924 | |
Dr. Jennifer Z Lecrone, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 Wylderose Cmns, Suite 200a, Midlothian, VA 23113 Phone: 804-293-0331 | |
Kathryn Barnard, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13900 Hull Street Rd, Midlothian, VA 23112 Phone: 804-639-8788 | |
Nicole Dillon, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13900 Hull Street Rd, Midlothian, VA 23112 Phone: 804-639-8788 | |
Amanda Bloomquest, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13900 Hull Street Rd, Midlothian, VA 23112 Phone: 804-639-8788 |