| Dr Nicole A Padmore, MD | |
|
5701 Thurston Ave, Suite 103, Virginia Beach, VA 23455-3330 | |
| (757) 340-3489 | |
| (757) 340-4278 |
| Full Name | Dr Nicole A Padmore |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 5701 Thurston Ave, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932172756 | NPI | - | NPPES |
| 005838827 | Medicaid | VA | |
| 110204555 | Other | VA | RRMED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101058077 (Virginia) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 0101058077 (Virginia) | Primary |
| Entity Name | Heartland Home Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629470745 PECOS PAC ID: 4789592817 Enrollment ID: O20191206000039 |
| Entity Name | In Home Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770517369 PECOS PAC ID: 2062320336 Enrollment ID: O20191206000060 |
| Entity Name | Heartland Hospice Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235168113 PECOS PAC ID: 4789592536 Enrollment ID: O20191206000221 |
| Entity Name | Heartland Hospice Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659300564 PECOS PAC ID: 4789592536 Enrollment ID: O20191206000290 |
| Entity Name | Heartland Hospice Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891727053 PECOS PAC ID: 4789592536 Enrollment ID: O20191206000402 |
| Entity Name | M Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780056168 PECOS PAC ID: 7719278597 Enrollment ID: O20221109000050 |
| Entity Name | M Management Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487215182 PECOS PAC ID: 6709115298 Enrollment ID: O20230731003997 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole A Padmore, MD Po Box 2546, Virginia Beach, VA 23450-2546 Ph: (757) 340-3489 | Dr Nicole A Padmore, MD 5701 Thurston Ave, Suite 103, Virginia Beach, VA 23455-3330 Ph: (757) 340-3489 |
Haidr Agha, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1157 First Colonial Rd, Ste 200, Virginia Beach, VA 23454 Phone: 757-623-0005 Fax: 757-389-5383 | |
Vincent Lee, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 5516 Virginia Beach Blvd, Virginia Beach, VA 23462 Phone: 757-473-3969 | |
Dr. Sue Beth Hudson, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 802 Newtown Rd, Virginia Beach, VA 23462 Phone: 757-497-0606 Fax: 757-497-0411 | |
Dr. Rosario Devera Hipol, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Independence Cir Ste 102, Virginia Beach, VA 23455 Phone: 757-499-6395 Fax: 757-499-8026 | |
Dr. Jonah Anyaogu Ulu Ezieme, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-395-2323 Fax: 757-827-2255 | |
Dr. James Richard Miller, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454 Phone: 757-395-1760 Fax: 757-756-5148 | |
Vera Goode, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Independence Blvd, Suite 103, Virginia Beach, VA 23455 Phone: 757-363-1000 Fax: 757-460-3708 |