| Mr Andrew Jason Spence, PA-C | |
|
1850 Pocahontas Trl, Quinton, VA 23141-1657 | |
| (804) 932-4388 | |
| Not Available |
| Full Name | Mr Andrew Jason Spence |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1850 Pocahontas Trl, Quinton, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619511854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110-007887 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| At Home Care | Mechanicsvlle, VA | Home health agency |
| James River Home Health Agency | Richmond, VA | Home health agency |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | Hospital |
| Bon Secours Memorial Regional Medical Center | Mechanicsville, VA | Hospital |
| Bon Secours Richmond Community Hospital | Richmond, VA | Hospital |
| Henrico Doctors' Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1522 |
| 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 |
|---|---|
| Mr Andrew Jason Spence, PA-C 1800 Coyote Dr, Chester, VA 23836-2400 Ph: (804) 937-0853 | Mr Andrew Jason Spence, PA-C 1850 Pocahontas Trl, Quinton, VA 23141-1657 Ph: (804) 932-4388 |
Allison S Mcinnis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1850 Pocahontas Trail, Quinton, VA 23141 Phone: 804-932-4388 Fax: 804-932-9860 |
Mr. Joseph Moore, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1850 Pocahontas Trl, Quinton, VA 23141 Phone: 804-932-4388 Fax: 804-932-9860 |
Madison Moon Alderson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1850 Pocahontas Trl, Quinton, VA 23141 Phone: 804-931-4388 |