| Frederick Peach, | |
|
3058 River Rd W, Goochland, VA 23063-3202 | |
| (804) 556-5400 | |
| (804) 556-5403 |
| Full Name | Frederick Peach |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 3058 River Rd W, Goochland, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851067953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701010506 (Virginia) | Primary |
| Entity Name | Goochland Powhatan Community Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467448571 PECOS PAC ID: 5193812501 Enrollment ID: O20071101000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Peach, Po Box 189, Goochland, VA 23063-0189 Ph: (804) 556-5400 | Frederick Peach, 3058 River Rd W, Goochland, VA 23063-3202 Ph: (804) 556-5400 |
Emma Fredette Jaeger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1975 Elk Hill Rd, Goochland, VA 23063 Phone: 434-270-0393 | |
Brenda F Murray, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3058 River Road West, Goochland, VA 23063 Phone: 804-556-5400 Fax: 804-556-5403 | |
Jessica Navin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1975 Elk Hill Rd, Goochland, VA 23063 Phone: 804-457-4866 | |
Sarah Elizabeth White, MS Counselor Medicare: Medicare Enrolled Practice Location: 3058 River Rd W, Goochland, VA 23063 Phone: 804-556-5400 Fax: 804-556-5403 | |
Tammy C Estep, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3058 River Rd W, Goochland, VA 23063 Phone: 804-556-5400 Fax: 804-556-5403 | |
Jessica Leigh Sibold, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1975 Elk Hill Rd, Goochland, VA 23063 Phone: 540-421-0992 | |
Michelle Lynn Sowards, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3058 River Rd W, Goochland, VA 23063 Phone: 804-556-5400 Fax: 804-556-5403 |