Salters Creek Medical Group is a medicare enrolled "Family Medicine" provider in Hampton, Virginia. Their current practice location is
183 Woodland Road, Hampton, Virginia. You can reach out to their office (for appointments etc.) via phone at
(757) 723-1899.
Salters Creek Medical Group is licensed to practice in Virginia (license number 0101053117) and it also participates in the medicare program. Salters Creek Medical Group
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1619016375.
Healthcare Provider's Profile
| Full Name | Salters Creek Medical Group |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 183 Woodland Road, Hampton, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619016375
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991742140
- Enrollment ID: O20050411000209
Medical Identifiers
Medical identifiers for Salters Creek Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619016375 | NPI | - | NPPES |
| BCBS330020 | Other | | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 0104001272 (Virginia) | Primary |
| 207Q00000X | Family Medicine | 0101053117 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Salters Creek Medical Group acts as a billing entity for following providers:
| Provider Name | Leroy Graham |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1043325434
PECOS PAC ID: 3779543343
Enrollment ID: I20041018000797 |
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| Provider Name | Kevin S Steele |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1942353586
PECOS PAC ID: 7719924968
Enrollment ID: I20050411000217 |
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| Provider Name | D Russell Mosher |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1083636211
PECOS PAC ID: 3577639376
Enrollment ID: I20080902000331 |
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| Provider Name | Harriet R Mccoy |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1104083120
PECOS PAC ID: 2860541398
Enrollment ID: I20090512000640 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Salters Creek Medical Group is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Salters Creek Medical Group
100 Bridge Street, #d,
Hampton, VA 23669
Ph: (757) 723-1899 | Salters Creek Medical Group
183 Woodland Road,
Hampton, VA 23663
Ph: (757) 723-1899 |
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