| Joynita R Nicholson, DO | |
|
7864 Richmond Tappahannock Hwy, Aylett, VA 23009-3056 | |
| (804) 769-2015 | |
| (804) 769-2014 |
| Full Name | Joynita R Nicholson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 7864 Richmond Tappahannock Hwy, Aylett, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265462782 | NPI | - | NPPES |
| 1153359 | Other | VA | AETNA HMO |
| 760728 | Other | VA | AETNA LIFE |
| 010190771 | Medicaid | VA | |
| 3576236 | Other | VA | CIGNA |
| 180919 | Other | VA | ANTHEM BCBS OF VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102201532 (Virginia) | Primary |
| Entity Name | Wellcomemd Richmond Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154832582 PECOS PAC ID: 1052677754 Enrollment ID: O20171114000422 |
| Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
| Mailing Address | Practice Location Address |
|---|---|
| Joynita R Nicholson, DO 3810 W Broad St Ste 104, Richmond, VA 23230-3927 Ph: (804) 655-6008 | Joynita R Nicholson, DO 7864 Richmond Tappahannock Hwy, Aylett, VA 23009-3056 Ph: (804) 769-2015 |
Jonathan W Biggers Iii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11814 King William Rd, Aylett, VA 23009 Phone: 804-769-3022 Fax: 804-769-1253 | |
Augustine Warner Lewis Iii, Family Medicine Medicare: Medicare Enrolled Practice Location: 7864 Richmond Tappahannock Hwy, Aylett, VA 23009 Phone: 804-746-1677 Fax: 804-769-3170 | |
Dr. Lily Alemi Cameron, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7864 Richmond Tappahannock Hwy, Aylett, VA 23009 Phone: 804-535-0145 | |
Jennifer K Stirgwolt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4917 Richmond Tappahannock Hwy Ste 1b, King William Medical Center, Aylett, VA 23009 Phone: 804-769-1245 Fax: 804-769-1342 | |
Dr. Alan K Tupponce, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7864 Richmond Tappahannock Hwy, Aylett, VA 23009 Phone: 804-535-0145 Fax: 602-263-1637 |