| Davita Beasley, | |
|
14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 | |
| (513) 223-8748 | |
| Not Available |
| Full Name | Davita Beasley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 14121 Parke Long Ct Ste 201, Chantilly, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356720429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 17346 (Ohio) | Primary |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
| Mailing Address | Practice Location Address |
|---|---|
| Davita Beasley, 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 Ph: () - | Davita Beasley, 14121 Parke Long Ct Ste 201, Chantilly, VA 20151-1647 Ph: (513) 223-8748 |
Diana Spring, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14121 Parke Long Ct Ste 201, Chantilly, VA 20151 Phone: 571-364-7110 Fax: 800-752-2471 | |
Ms. Xin Wang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4213 Walney Rd, Chantilly, VA 20151 Phone: 703-383-8500 | |
Hamdi Hagiyusuf, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14391 Chantilly Crossing Ln, Chantilly, VA 20151 Phone: 571-262-0021 | |
Bindhu Aickareth, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14121 Parke Long Ct, Chantilly, VA 20151 Phone: 281-827-7304 | |
Kadijatu Sesay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42979 Golf View Dr, Chantilly, VA 20152 Phone: 614-596-3596 | |
Michelle Marie Dresback, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14121 Parke Long Ct Ste 201, Chantilly, VA 20151 Phone: 855-247-1940 | |
Kasie Michelle Cassell, PMHNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4229 Lafayette Center Dr Ste 1300, Chantilly, VA 20151 Phone: 703-423-9704 |