| Dr Elizabeth Chinke Ichite, | |
|
955e Wonder Rd, Stafford, VA 22554-7798 | |
| (540) 741-7893 | |
| Not Available |
| Full Name | Dr Elizabeth Chinke Ichite |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 955e Wonder Rd, Stafford, 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 |
|---|---|---|---|
| 1780144865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 0101288349 (Virginia) | Primary |
| 207Q00000X | Family Medicine | 2021-00823 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Novant Health Matthews Medical Center | Matthews, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest University Health Sciences | 4486564952 | 2614 |
| Novant Health Medical Group, Llc | 1153234893 | 2401 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth Chinke Ichite, 1340 Central Park Blvd Ste 100, Fredericksburg, VA 22401-4940 Ph: () - | Dr Elizabeth Chinke Ichite, 955e Wonder Rd, Stafford, VA 22554-7798 Ph: (540) 741-7893 |
Dr. Enamul Hoq Kahn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 237 Garrisonville Rd Ste 101, Stafford, VA 22554 Phone: 540-659-0550 Fax: 540-720-2386 | |
Dr. Russell Warren Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 422 Garrisonville Rd, Ste 111, Stafford, VA 22554 Phone: 540-657-9441 Fax: 540-657-4366 | |
Yolanda G Reid, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2761 Jefferson Davis Hwy Ste 101, Stafford, VA 22554 Phone: 909-281-4720 Fax: 951-808-5975 | |
Curtis Read, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Prosperity Ln, Stafford, VA 22556 Phone: 757-594-3800 | |
Dr. Sebastian A Sicari, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 608 Garrisonville Rd, Suite 201, Stafford, VA 22554 Phone: 540-659-4157 Fax: 540-659-3482 | |
Shannon Daye Farag, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 60 Prosperity Ln, Stafford, VA 22556 Phone: 540-658-2811 Fax: 540-658-2812 | |
Dr. Michael K. Kim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Prosperity Ln, Stafford, VA 22556 Phone: 757-303-9475 |