| Ad Senior Medical Llc | |
|
5000 Stoneleigh Rd Henrico VA 23228-5927 | |
| (804) 347-2591 | |
| Not Available |
| Full Name | Ad Senior Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5000 Stoneleigh Rd, Henrico, Virginia |
| Authorized Official Name and Position | Debra Ramsey (OWNER MANAGER) |
| Authorized Official Contact | 8043472591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ad Senior Medical Llc 5000 Stoneleigh Rd Henrico VA 23228-5927 Ph: (804) 347-2591 | Ad Senior Medical Llc 5000 Stoneleigh Rd Henrico VA 23228-5927 Ph: (804) 347-2591 |
| NPI Number | 1831639111 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Medicare PECOS PAC ID | 0446529184 |
|---|---|
| Medicare Enrollment ID | O20170712000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831639111 | NPI | - | NPPES |
| Provider Name | Olivia A Mansilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376563189 PECOS PAC ID: 3971668476 Enrollment ID: I20090217000563 |
| Provider Name | Amy M Scheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538477674 PECOS PAC ID: 9638341142 Enrollment ID: I20140607000011 |
| Provider Name | Debra Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881845261 PECOS PAC ID: 3870888183 Enrollment ID: I20160825002234 |
| Provider Name | Marion Simmons-selking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437618949 PECOS PAC ID: 6103159082 Enrollment ID: I20190607001172 |
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