Ms Tameika L Elam, PMHNP | |
200 Medical Park Blvd, Petersburg, VA 23805-9274 | |
(804) 765-5595 | |
Not Available |
Full Name | Ms Tameika L Elam |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 200 Medical Park Blvd, Petersburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508514266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024183579 (Virginia) | Primary |
Entity Name | Supportive Care Of Virginia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801485354 PECOS PAC ID: 2961816731 Enrollment ID: O20210208000520 |
Mailing Address | Practice Location Address |
---|---|
Ms Tameika L Elam, PMHNP 3905 Harvest Crest Dr, Richmond, VA 23223-1699 Ph: (804) 437-3031 | Ms Tameika L Elam, PMHNP 200 Medical Park Blvd, Petersburg, VA 23805-9274 Ph: (804) 765-5595 |
Melita Claresa Wilson- Primus, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 866-546-2229 | |
Ms. Nancy Joyner Gauldin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-863-1652 Fax: 804-862-6126 | |
Olivia Mendoza, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-861-0700 | |
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: Medicare Enrolled Practice Location: 321c Poplar Dr, Petersburg, VA 23805 Phone: 804-733-5591 | |
Chiquita Michone Thomas-jackson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare 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 |