| Ricky Brockington, | |
|
102 Fairview Dr Ste B, Franklin, VA 23851-1206 | |
| (757) 562-2158 | |
| (757) 516-8019 |
| Full Name | Ricky Brockington |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 102 Fairview Dr Ste B, Franklin, 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 |
|---|---|---|---|
| 1871108233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024180104 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southampton Memorial Home Health | Franklin, VA | Home health agency |
| Sentara Home Care Services-suffolk | Suffolk, VA | Home health agency |
| Southampton Memorial Hospital | Franklin, VA | Hospital |
| Sentara Obici Hospital | Suffolk, VA | Hospital |
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Hampton Roads Primary Care Llc | 0941632756 | 59 |
| Entity Name | Bon Secours Medical Group Hampton Roads Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528627379 PECOS PAC ID: 0941632756 Enrollment ID: O20191118000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky Brockington, 19124 Lakeside Dr, Courtland, VA 23837-2634 Ph: (757) 562-2004 | Ricky Brockington, 102 Fairview Dr Ste B, Franklin, VA 23851-1206 Ph: (757) 562-2158 |
Mrs. Candace Bynum Lankford, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 W 2nd Ave, Franklin, VA 23851 Phone: 757-744-9593 | |
Mrs. Melissa Marie Kerrick, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1378 Armory Dr, Franklin, VA 23851 Phone: 757-562-4111 Fax: 757-562-3469 | |
Mrs. Temeka Shavonne Hathaway, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Fairview Dr Ste B, Franklin, VA 23851 Phone: 757-562-2158 Fax: 757-516-8019 | |
Mrs. Moya Annalies Hash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Fairview Dr, Franklin, VA 23851 Phone: 757-562-7301 | |
Naomi Myrick, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Mechanic St, Franklin, VA 23851 Phone: 757-653-4131 Fax: 619-374-4204 | |
Tracy Forrester, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1378 Armory Dr, Franklin, VA 23851 Phone: 757-562-4111 Fax: 757-562-3469 | |
Dana E Stallings, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1337 Armory Dr, Franklin, VA 23851 Phone: 757-659-9903 Fax: 833-471-5922 |