| Cecilia Ntobo Faison Ngwa, | |
|
5322 Ladysmith Rd, Ruther Glen, VA 22546-1325 | |
| (757) 535-9609 | |
| (571) 473-5954 |
| Full Name | Cecilia Ntobo Faison Ngwa |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 5322 Ladysmith Rd, Ruther Glen, 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 |
|---|---|---|---|
| 1619694361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2022064027 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| We Help Our Adolescents | 1850790957 | 19 |
| Entity Name | Rappahannock Area Community Services Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790742153 PECOS PAC ID: 8123016318 Enrollment ID: O20040505000981 |
| Entity Name | Supportive Care Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801485354 PECOS PAC ID: 2961816731 Enrollment ID: O20210208000520 |
| Entity Name | We Help Our Adolescents |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497148480 PECOS PAC ID: 1850790957 Enrollment ID: O20210521001555 |
| Mailing Address | Practice Location Address |
|---|---|
| Cecilia Ntobo Faison Ngwa, 5322 Ladysmith Rd, Ruther Glen, VA 22546-1325 Ph: (757) 535-9609 | Cecilia Ntobo Faison Ngwa, 5322 Ladysmith Rd, Ruther Glen, VA 22546-1325 Ph: (757) 535-9609 |
Mrs. Marisa Bradbury, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5322 Ladysmith Rd, Ruther Glen, VA 22546 Phone: 804-547-4125 | |
Ms. Tamara Krantz Fleming, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8051 Prosperity Way, Suite 100, Ruther Glen, VA 22546 Phone: 804-448-1380 | |
Engoh Bellamy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11073 Colonel Armistead Dr Ste 105b, Ruther Glen, VA 22546 Phone: 703-660-4676 |