| Tracie Henderson, RDN | |
|
1500 N 28th St, Richmond, VA 23223-5332 | |
| (804) 764-7885 | |
| Not Available |
| Full Name | Tracie Henderson |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 15 Years |
| Location | 1500 N 28th St, Richmond, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659018554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Richmond Specialty Care Llc | 8022440056 | 298 |
| Provider Name | Bon Secours Medical Group Richmond Specialty Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Henderson, RDN 2201 Grassy Knoll Ln, North Chesterfield, VA 23236-1716 Ph: (804) 385-9231 | Tracie Henderson, RDN 1500 N 28th St, Richmond, VA 23223-5332 Ph: (804) 764-7885 |
Miss Stephanie Jeanne Sherman, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Va Medical Center, Richmond, VA 23249 Phone: 804-675-5000 Fax: 804-675-5667 | |
Jessica L Fentress, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4110 Fitzhugh Ave, Richmond, VA 23230 Phone: 757-710-9210 | |
Ashton Kite, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6533 Vischer Rd, Richmond, VA 23225 Phone: 804-398-0140 | |
Sarah Alexis Haack, RD, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3312 O St, Richmond, VA 23223 Phone: 804-514-0658 | |
Ms. Mary-jo Sawyer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall St, Ob/gyn Registered Dietitian, Richmond, VA 23298 Phone: 804-560-8950 Fax: 804-560-7343 | |
Lindsey Hall, RD Dietitian Medicare: Medicare Enrolled Practice Location: 9109 Stony Point Dr, Richmond, VA 23235 Phone: 804-827-0045 | |
Mrs. Regine Birkenhauer Dallosta, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall St, Registered Dietitian, Richmond, VA 23298 Phone: 804-828-0970 Fax: 804-628-0921 |