| Jae Ryoung Anaza, FNP, ACHPN | |
|
672 Gloucester Rd, Saluda, VA 23149-2591 | |
| (804) 758-2363 | |
| (804) 758-3857 |
| Full Name | Jae Ryoung Anaza |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 672 Gloucester Rd, Saluda, 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 |
|---|---|---|---|
| 1891311213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024179369 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Home Health | Newport news, VA | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Se Virginia Value Based Care Llc | 6103288170 | 155 |
| Mid-atlantic Post Acute And Long Term Care Pllc | 0648530782 | 137 |
| Entity Name | Hcr Manorcare Medical Services Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20050801000317 |
| Entity Name | Mid-atlantic Post Acute & Long Term Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225557556 PECOS PAC ID: 0648530782 Enrollment ID: O20180209000313 |
| Entity Name | New Era Healthcare Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326695339 PECOS PAC ID: 2365852621 Enrollment ID: O20201028001065 |
| Entity Name | Se Virginia Value Based Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225720501 PECOS PAC ID: 6103288170 Enrollment ID: O20230809000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Ryoung Anaza, FNP, ACHPN 672 Gloucester Rd, Saluda, VA 23149-2591 Ph: (804) 758-2363 | Jae Ryoung Anaza, FNP, ACHPN 672 Gloucester Rd, Saluda, VA 23149-2591 Ph: (804) 758-2363 |
Shannon Lee Stone, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13794 Tidewater Trail, Saluda, VA 23149 Phone: 804-286-9377 |