| Ronald Anderson, PMHNO-BC | |
|
350 Poplar Dr, Petersburg, VA 23805-9367 | |
| (804) 733-6874 | |
| Not Available |
| Full Name | Ronald Anderson |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 350 Poplar Dr, Petersburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356058051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | R164845 (Maryland) | Primary |
| Entity Name | Toller Enterprises, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Anderson, PMHNO-BC 350 Poplar Dr, Petersburg, VA 23805-9367 Ph: () - | Ronald Anderson, PMHNO-BC 350 Poplar Dr, Petersburg, VA 23805-9367 Ph: (804) 733-6874 |
Ms. Jacqueline E Brown, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Morten Ave, Petersburg, VA 23805 Phone: 804-862-8004 Fax: 804-862-6158 | |
Mrs. Erin Marie Pearce, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Morton Ave, Petersburg, VA 23805 Phone: 804-862-8004 Fax: 804-862-6155 | |
Angela Harris-bonner, APRN, PMHNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 28 Goodrich Ave, Petersburg, VA 23805 Phone: 804-621-5128 | |
Mr. Clint Ted Paseos, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20 W Bank St Ste 3, Petersburg, VA 23803 Phone: 804-862-8002 Fax: 804-722-4283 | |
Ms. Karen L. Louis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20 W Bank St, Suite 6, Petersburg, VA 23803 Phone: 804-862-8002 Fax: 804-862-8023 | |
Janell Bernice Lewis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 24505 Lake Dr, Petersburg, VA 23803 Phone: 804-862-8011 | |
Mrs. Adelaide Cary Mason, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 111 Morton Ave, Petersburg, VA 23805 Phone: 804-862-8004 Fax: 804-862-6158 |