| Manju Treesa Jose, | |
|
5436 Burlington Ct, Williamsburg, VA 23188-7616 | |
| (757) 968-0936 | |
| Not Available |
| Full Name | Manju Treesa Jose |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 5436 Burlington Ct, Williamsburg, 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 |
|---|---|---|---|
| 1023885373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024188909 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Care Llc | 0042458200 | 61 |
| Legacy Care Aco Llc | 3274996426 | 36 |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Entity Name | Hampton Newport News Community Services Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659424448 PECOS PAC ID: 0446247480 Enrollment ID: O20040429001348 |
| 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 | 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 | Legacy Care Aco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538844857 PECOS PAC ID: 3274996426 Enrollment ID: O20230906000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Manju Treesa Jose, Hampton Newport News Csb, 600 Medical Drive, Hampton, VA 23666-7616 Ph: (757) 968-0936 | Manju Treesa Jose, 5436 Burlington Ct, Williamsburg, VA 23188-7616 Ph: (757) 968-0936 |
Mrs. Leah Meister Childress, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1144 Professional Dr, Williamsburg, VA 23185 Phone: 757-259-0443 Fax: 757-259-0450 | |
Julie Andrews, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4601 Ironbound Rd, Williamsburg, VA 23188 Phone: 757-253-5161 | |
Michelle Hoffmann, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5000 New Point Rd Ste 2301, Williamsburg, VA 23188 Phone: 757-201-9771 | |
Morlinda M Kruegel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Kings Way, Suite 3500, Williamsburg, VA 23185 Phone: 757-221-0110 Fax: 757-221-0851 | |
Yaneka Rhea Alaimalo, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Sentara Cir Ste 320, Williamsburg, VA 23188 Phone: 757-345-4300 Fax: 757-510-9190 | |
Mrs. Martha Jane Klinger, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5249 Olde Towne Rd, Williamsburg, VA 23188 Phone: 757-259-3254 Fax: 757-220-1953 |