| Kavitha Tatineni, NP | |
|
110 Kingsley Ln, Suite 106, Norfolk, VA 23505-4614 | |
| (757) 354-2885 | |
| (757) 889-5742 |
| Full Name | Kavitha Tatineni |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 110 Kingsley Ln, Norfolk, 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 |
|---|---|---|---|
| 1568754604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024169300 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Se Virginia Value Based Care Llc | 6103288170 | 125 |
| Mid Atlantic Long Term Specialty Care Llc | 8921427162 | 23 |
| 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 | Mid Atlantic Long Term Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851909998 PECOS PAC ID: 8921427162 Enrollment ID: O20201007001831 |
| 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 |
|---|---|
| Kavitha Tatineni, NP 110 Kingsley Lane, Suite 106, Norfolk, VA 23505 Ph: (757) 354-2885 | Kavitha Tatineni, NP 110 Kingsley Ln, Suite 106, Norfolk, VA 23505-4614 Ph: (757) 354-2885 |
Belinda James-petersen, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7240 Fax: 757-668-7241 | |
Tracy Lyn Martino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-8441 | |
Cecille Morido Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502 Phone: 757-261-5000 Fax: 757-962-5610 | |
Martha Idowu Morolari, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 Fax: 757-388-4242 | |
Kacie Denise Carter, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-8796 Fax: 757-668-9814 | |
Dr. Jessica D Snook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave, 118, Norfolk, VA 23507 Phone: 757-446-5955 Fax: 757-446-5196 | |
Mrs. Ursula Julianna Pretorius, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Glenrock Rd, Suite 100, Norfolk, VA 23502 Phone: 757-252-3294 Fax: 757-510-9311 |