| Mr Casey Brennan, | |
|
200 Medical Park Blvd, Petersburg, VA 23805-9274 | |
| (804) 765-5000 | |
| Not Available |
| Full Name | Mr Casey Brennan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 200 Medical Park Blvd, Petersburg, 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 |
|---|---|---|---|
| 1265900260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 00241176871 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southside Regional Medical Center | Petersburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alexandria Springfield Emergency Physicians Pc | 1052558954 | 33 |
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376917070 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
| Entity Name | Alexandria Springfield Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740529700 PECOS PAC ID: 1052558954 Enrollment ID: O20200115002186 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Casey Brennan, 200 Medical Park Blvd, Petersburg, VA 23805-9274 Ph: (804) 765-5000 | Mr Casey Brennan, 200 Medical Park Blvd, Petersburg, VA 23805-9274 Ph: (804) 765-5000 |
Olivia Houchins, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-861-0700 | |
Rasha Kafi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 263 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-431-1100 Fax: 804-862-1094 | |
Linda P. Whiteley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-862-1652 | |
Jocelyn L Burls, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 | |
Melissa Dalton Wagner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-609-0175 Fax: 804-835-5999 | |
Chiquita Michone Thomas-jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3916 S Crater Rd, Petersburg, VA 23805 Phone: 804-526-4300 | |
Ms. Erica Lynn Bagby, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 Fax: 804-733-3506 |