| Mirjam Bryan, | |
|
4825 S Laburnum Ave, Richmond, VA 23231-2713 | |
| (804) 727-8101 | |
| Not Available |
| Full Name | Mirjam Bryan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 4825 S Laburnum Ave, Richmond, 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 |
|---|---|---|---|
| 1568864189 | NPI | - | NPPES |
| 0110004713 | Medicaid | VA | |
| 0110004713 | Other | VA | PA-LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110004713 (NU) | Secondary |
| 363A00000X | Physician Assistant | 0110004713 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henrico Area Mental Heatlh And Developmental Services | 8022004811 | 30 |
| Entity Name | Henrico Area Mental Heatlh and Developmental Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023119773 PECOS PAC ID: 8022004811 Enrollment ID: O20040426000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Mirjam Bryan, 4825 S Laburnum Ave, Richmond, VA 23231-2713 Ph: Not Available | Mirjam Bryan, 4825 S Laburnum Ave, Richmond, VA 23231-2713 Ph: (804) 727-8101 |
Mrs. Erica Storey Cline, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1250 E Marshall St, Emergency Medicine, Richmond, VA 23298 Phone: 804-828-0996 Fax: 804-828-8646 |
Mrs. Sara Duvall Mccarthy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 N 28th St, Richmond, VA 23223 Phone: 804-225-1700 Fax: 804-225-1725 |
Chadwick Steendam, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5805 Staples Mill Rd, Richmond, VA 23228 Phone: 804-913-2262 Fax: 804-336-0420 |
Maeve C Buni, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 804-289-4500 |
Laura E Toney, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5899 Bremo Rd, Ste 100, Richmond, VA 23226 Phone: 804-288-8512 Fax: 804-288-4552 |
Mrs. Shannon Scott Shellenhamer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 N Thompson St, Richmond, VA 23221 Phone: 804-359-1337 Fax: 804-358-9861 |
Kaitlyn Nicole Earley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Semmes Ave, Richmond, VA 23224 Phone: 804-404-0107 |