| Mrs Kate Jennings Ray, PMH-NP | |
|
700 24th St, Attn: Mcxo-bhs, Fort Lee, VA 23801-1716 | |
| (804) 734-9143 | |
| (804) 734-9188 |
| Full Name | Mrs Kate Jennings Ray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 700 24th St, Fort Lee, 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 |
|---|---|---|---|
| 1073794285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 0024167551 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tucker Psychiatric Clinic Inc. | 9133018922 | 12 |
| Entity Name | Mcv Associated Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
| Entity Name | Tucker Psychiatric Clinic Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003911256 PECOS PAC ID: 9133018922 Enrollment ID: O20040311000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kate Jennings Ray, PMH-NP 700 24th St, Attn: Mcxo-bhs, Fort Lee, VA 23801-1716 Ph: (804) 734-9143 | Mrs Kate Jennings Ray, PMH-NP 700 24th St, Attn: Mcxo-bhs, Fort Lee, VA 23801-1716 Ph: (804) 734-9143 |
Kimberly Ellen Newton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th Street, Usameddac Kahc Attn: Credentials Office, Fort Lee, VA 23801 Phone: 804-734-9295 Fax: 804-734-9016 | |
Mr. David Thayer Bolesh, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9028 Fax: 804-734-9383 | |
Kimberly Schoen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9540 Fax: 804-734-9969 | |
Mrs. Terrie Denise Burgan, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9295 Fax: 804-734-9016 | |
Gloria Rodriguez-walton, NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th, Fort Lee, VA 23801 Phone: 804-734-9295 Fax: 804-734-9016 | |
Mr. James Albert Lalonde, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 700 24th St, Fort Lee, VA 23801 Phone: 804-734-9295 Fax: 804-734-9016 |