Monique Powell, NP | |
4140 Crossings Ct Ste 101-103, Prince George, VA 23875-1538 | |
(833) 510-4357 | |
Not Available |
Full Name | Monique Powell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 4140 Crossings Ct Ste 101-103, Prince George, 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 |
---|---|---|---|
1124786074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001248378 (Virginia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024183259 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Care Llc | 0042458200 | 87 |
Legacy Care Aco Llc | 3274996426 | 8 |
Brightview Llc | 9032426044 | 140 |
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 | Brightview Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649786260 PECOS PAC ID: 9032426044 Enrollment ID: O20220401000078 |
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 |
---|---|
Monique Powell, NP 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: (833) 510-4357 | Monique Powell, NP 4140 Crossings Ct Ste 101-103, Prince George, VA 23875-1538 Ph: (833) 510-4357 |
Jessica M Larche, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4600 Puddledock Rd, Prince George, VA 23875 Phone: 804-704-8655 | |
Kimberly Fox, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4140 Crossings Ct Ste 101-103, Prince George, VA 23875 Phone: 757-695-9406 | |
Tanesha Ford, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Puddledock Rd Ste 300, Prince George, VA 23875 Phone: 804-526-1111 | |
Ms. Shavonne Jackson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4575 Whitehill Blvd Ste 101, Prince George, VA 23875 Phone: 804-643-3061 Fax: 804-643-3817 | |
Kim Parrish Dobson, FNP-C APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5842 Allin Road, Suite A, Prince George, VA 23875 Phone: 804-895-6131 Fax: 804-895-6183 | |
Takara Joy Figueroa, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 Puddledock Rd, Prince George, VA 23875 Phone: 804-526-1111 | |
Mrs. Theresa Mccormack, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2035 Waterside Rd, Suite 105, Prince George, VA 23875 Phone: 804-520-0002 Fax: 804-520-2259 |