| Jaimie Sarcon Tahir, NP | |
|
601 Old Wagner Rd, Petersburg, VA 23805-9313 | |
| (804) 835-9398 | |
| (804) 414-7062 |
| Full Name | Jaimie Sarcon Tahir |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 601 Old Wagner Rd, Petersburg, 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 |
|---|---|---|---|
| 1528420544 | NPI | - | NPPES |
| VVL477A | Other | VA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2014017971 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Care Llc | 0042458200 | 61 |
| Legacy Care Aco Llc | 3274996426 | 36 |
| Harmony At Home Provider Services Llc | 4587030804 | 14 |
| Geriatric Associates Of Richmond Inc | 4789026071 | 17 |
| Entity Name | Center For Gastrointestinal Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710095963 PECOS PAC ID: 2163424391 Enrollment ID: O20070201000035 |
| Entity Name | Legacy Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902149776 PECOS PAC ID: 0042458200 Enrollment ID: O20130529000542 |
| Entity Name | Bloom Geriatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013499623 PECOS PAC ID: 9537404967 Enrollment ID: O20181213000168 |
| Entity Name | Vitality Np Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083356307 PECOS PAC ID: 2062899644 Enrollment ID: O20220520000602 |
| Entity Name | Harmony At Home Provider Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245985415 PECOS PAC ID: 4587030804 Enrollment ID: O20221011002934 |
| Entity Name | Legacy Care Aco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538844857 PECOS PAC ID: 3274996426 Enrollment ID: O20230906000290 |
| Entity Name | Geriatric Associates Of Richmond Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891559597 PECOS PAC ID: 4789026071 Enrollment ID: O20240531003398 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaimie Sarcon Tahir, NP 601 Old Wagner Rd, Petersburg, VA 23805-9313 Ph: (804) 835-9398 | Jaimie Sarcon Tahir, NP 601 Old Wagner Rd, Petersburg, VA 23805-9313 Ph: (804) 835-9398 |
Olivia Houchins, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-861-0700 | |
Rasha Kafi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 263 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-431-1100 Fax: 804-862-1094 | |
Linda P. Whiteley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-862-1652 | |
Jocelyn L Burls, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 | |
Melissa Dalton Wagner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-609-0175 Fax: 804-835-5999 | |
Chiquita Michone Thomas-jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3916 S Crater Rd, Petersburg, VA 23805 Phone: 804-526-4300 | |
Ms. Erica Lynn Bagby, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 Fax: 804-733-3506 |