| Tracey Richerson, PMHNP | |
|
3300 Rivermont Ave Fl 2, Lynchburg, VA 24503-2030 | |
| (434) 200-5999 | |
| (434) 200-1673 |
| Full Name | Tracey Richerson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3300 Rivermont Ave Fl 2, Lynchburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598462343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024186338 (Virginia) | Primary |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Richerson, PMHNP 3300 Rivermont Ave Fl 2, Lynchburg, VA 24503-2030 Ph: () - | Tracey Richerson, PMHNP 3300 Rivermont Ave Fl 2, Lynchburg, VA 24503-2030 Ph: (434) 200-5999 |
Carrie Gunn Turner, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Intensive Care Nursery, Lynchburg, VA 24503 Phone: 434-200-5735 Fax: 434-200-4590 | |
Magen Calland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-200-4651 | |
Dianne White, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Archway Ct, Lynchburg, VA 24502 Phone: 434-237-3664 | |
Amy Leigh Stowers, RN MSN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Nationwide Dr, Suite A, Lynchburg, VA 24502 Phone: 434-384-1862 Fax: 434-384-7704 | |
Melissa Bond, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 113 Wiggington Rd Ste A, Lynchburg, VA 24502 Phone: 434-509-9595 | |
Melody Beth Brown, F.N.P-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2215 Landover Pl, Lynchburg, VA 24501 Phone: 434-947-3944 Fax: 866-617-8273 | |
Mrs. Natalie Olson Enoch, MSN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 Thomson Dr, Lynchburg, VA 24501 Phone: 434-200-5925 |