| Ronald Anderson, PMHNO-BC | |
|
350 Poplar Dr, Petersburg, VA 23805-9367 | |
| (804) 733-6874 | |
| Not Available |
| Full Name | Ronald Anderson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 350 Poplar Dr, 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 |
|---|---|---|---|
| 1356058051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R164845 (Maryland) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | R164845 (Maryland) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Toller Enterprises, Llc | 8628481926 | 63 |
| Integrahealth Llc | 3678911625 | 47 |
| Axis Healthcare Group | 1254409550 | 76 |
| Integrahealth Llc | 3678911625 | 47 |
| Spiritual Healing | 7113388802 | 22 |
| Toller Enterprises, Llc | 8628481926 | 63 |
| Spiritual Healing | 7113388802 | 22 |
| Integrahealth Llc | 3678911625 | 47 |
| Entity Name | Axis Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326295098 PECOS PAC ID: 1254409550 Enrollment ID: O20081013000520 |
| Entity Name | Toller Enterprises, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20231030003317 |
| Entity Name | Spiritual Healing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003502337 PECOS PAC ID: 7113388802 Enrollment ID: O20240223002548 |
| Entity Name | Integrahealth LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194513234 PECOS PAC ID: 3678911625 Enrollment ID: O20240503003481 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Anderson, PMHNO-BC 350 Poplar Dr, Petersburg, VA 23805-9367 Ph: Not Available | Ronald Anderson, PMHNO-BC 350 Poplar Dr, Petersburg, VA 23805-9367 Ph: (804) 733-6874 |
Raquel Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26317 W Washington St, Petersburg, VA 23803 Phone: 804-524-7000 |
Ms. Tamika Michelle Coleman, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-590-6515 |
Olivia Houchins, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-861-0700 |
Lisa Speede Mcclure, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 541 S Sycamore St, Petersburg, VA 23803 Phone: 804-835-6100 |
Angela Harris-bonner, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28 Goodrich Ave, Petersburg, VA 23805 Phone: 804-621-5128 |
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 |