Martina D Porter, FNP | |
630 Peter Jefferson Pkwy Ste 140, Charlottesville, VA 22911-4660 | |
(434) 218-5460 | |
(855) 576-4983 |
Full Name | Martina D Porter |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 630 Peter Jefferson Pkwy Ste 140, Charlottesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962133140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024184488 (Virginia) | Primary |
Entity Name | Martha Jefferson Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275720559 PECOS PAC ID: 5991889081 Enrollment ID: O20080228000055 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Entity Name | Signify Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383 |
Mailing Address | Practice Location Address |
---|---|
Martina D Porter, FNP 630 Peter Jefferson Pkwy Ste 140, Charlottesville, VA 22911-4660 Ph: (434) 218-5460 | Martina D Porter, FNP 630 Peter Jefferson Pkwy Ste 140, Charlottesville, VA 22911-4660 Ph: (434) 218-5460 |
Norma Branham, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2047 | |
Neil Peterson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-0075 | |
Joy R Miller, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-2617 | |
Rebecca L Hand, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-982-1100 | |
Megan E. Kingdon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-9400 Fax: 434-982-1618 | |
Mrs. Stephanie Richardson Wilhelm, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7150 | |
Kimberly Conrad, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Lee St, Charlottesville, VA 22908 Phone: 434-924-9333 Fax: 434-244-7526 |