| Tinae G Diaz, | |
|
120 Anderson Ave, Bowling Green, VA 22427-9401 | |
| (804) 633-4839 | |
| (804) 633-7309 |
| Full Name | Tinae G Diaz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 120 Anderson Ave, Bowling Green, 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 |
|---|---|---|---|
| 1891342853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024176230 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virginia Internal Medicine Inc | 4082869250 | 79 |
| Virginia Internal Medicine Inc | 4082869250 | 79 |
| Entity Name | Virginia Internal Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740525245 PECOS PAC ID: 4082869250 Enrollment ID: O20130220000224 |
| Entity Name | Atlantic Healthcare Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912491739 PECOS PAC ID: 0345598918 Enrollment ID: O20181113002497 |
| Mailing Address | Practice Location Address |
|---|---|
| Tinae G Diaz, 120 Anderson Ave, Bowling Green, VA 22427-9401 Ph: (804) 633-4839 | Tinae G Diaz, 120 Anderson Ave, Bowling Green, VA 22427-9401 Ph: (804) 633-4839 |
Mrs. Carol A Campbell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 West Broaddus Ave Ste 200, Suite 200, Bowling Green, VA 22427 Phone: 804-632-1030 Fax: 804-632-1033 | |
Brianna Shelton Jett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Courthouse Ln, Bowling Green, VA 22427 Phone: 804-633-5840 | |
Patricia Mason Williamson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 W Broaddus Ave, Suite 200, Bowling Green, VA 22427 Phone: 804-632-1030 Fax: 804-632-1033 | |
Elizabeth Rivlin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 West Broaddus Avenue, Suite 200, Bowling Green, VA 22427 Phone: 804-632-1030 Fax: 804-632-1033 | |
Jade Denise Haskins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Courthouse Ln, Bowling Green, VA 22427 Phone: 804-633-5840 |