| Mary Rose Jayme, NURSE PRACTITIONER | |
|
200 E 5th St, Chase City, VA 23924-1456 | |
| (434) 372-0900 | |
| (434) 363-4258 |
| Full Name | Mary Rose Jayme |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 200 E 5th St, Chase City, 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 |
|---|---|---|---|
| 1033566153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024173567 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Memorial Hospital | South hill, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Entity Name | Southside Kidney Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033130026 PECOS PAC ID: 4284692880 Enrollment ID: O20041229000595 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Rose Jayme, NURSE PRACTITIONER 200 E 5th St, Chase City, VA 23924-1456 Ph: (434) 372-0900 | Mary Rose Jayme, NURSE PRACTITIONER 200 E 5th St, Chase City, VA 23924-1456 Ph: (434) 372-0900 |
Keysha D. Ahmad-winborne, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 946 N Main St, Chase City, VA 23924 Phone: 434-372-5141 Fax: 434-372-8910 | |
Stacy Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E 5th St, Chase City, VA 23924 Phone: 434-372-0900 | |
Miranda Fields, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5539 Va-47, Chase City, VA 23924 Phone: 434-372-8885 |