Eastern Shore Rural Health System Incorporated - Medicare Primary Care in New Church, VA

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Eastern Shore Rural Health System Incorporated is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in New Church, Virginia. The current practice location for Eastern Shore Rural Health System Incorporated is 5219 Lankford Hwy, New Church, Virginia. For appointments, you can reach them via phone at (757) 824-5676. The mailing address for Eastern Shore Rural Health System Incorporated is 20280 Market St, Onancock, Virginia and phone number is (757) 414-0401.

Eastern Shore Rural Health System Incorporated is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043341613. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (757) 824-5676.

Contact Information

Eastern Shore Rural Health System Incorporated
5219 Lankford Hwy
New Church
VA 23415-3332
(757) 824-5676
(757) 824-5872

Map and Direction


Primary Care Clinic Profile

Full NameEastern Shore Rural Health System Incorporated
SpecialityClinic/Center
Location5219 Lankford Hwy, New Church, Virginia
Authorized Official Name and PositionJeannette Edwards (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact7574140400
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eastern Shore Rural Health System Incorporated
20280 Market St
Onancock
VA 23417-1331

Ph: (757) 414-0401		Eastern Shore Rural Health System Incorporated
5219 Lankford Hwy
New Church
VA 23415-3332

Ph: (757) 824-5676

NPI Details:

NPI Number1043341613
Provider Enumeration Date03/08/2007
Last Update Date03/22/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2668380106
Medicare Enrollment IDO20040122001049

Medical Identifiers

Medical identifiers for Eastern Shore Rural Health System Incorporated such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043341613NPI-NPPES
007695187MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eastern Shore Rural Health System Incorporated acts as a billing entity for following providers:
Provider NameJoan K Lingen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336127539
PECOS PAC ID: 0042233447
Enrollment ID: I20060111001229
Provider NameJean S Laughman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730148669
PECOS PAC ID: 5991721771
Enrollment ID: I20061219000181
Provider NameNathan S Davidson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700952082
PECOS PAC ID: 2860572096
Enrollment ID: I20071231000198
Provider NameDebra M G Murray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437123882
PECOS PAC ID: 7719034776
Enrollment ID: I20090408000144
Provider NameMargaret M Stiles
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669405502
PECOS PAC ID: 3375692429
Enrollment ID: I20090519000607
Provider NameKelly M Washburn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376738930
PECOS PAC ID: 0446347009
Enrollment ID: I20091109000297
Provider NameDavid K Hoshino
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811975147
PECOS PAC ID: 6507059441
Enrollment ID: I20101022001191
Provider NameThomas G Hollandsworth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386622611
PECOS PAC ID: 7012102890
Enrollment ID: I20101108000413
Provider NameJeanne R Roll
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972581049
PECOS PAC ID: 6608063631
Enrollment ID: I20101203000061
Provider NameJeanette Missouri Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154694065
PECOS PAC ID: 8729249149
Enrollment ID: I20120411000881
Provider NameNicole Marsh
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356584171
PECOS PAC ID: 8921254905
Enrollment ID: I20120807000438
Provider NameJynnifer L Albano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952722332
PECOS PAC ID: 2365675592
Enrollment ID: I20140423002185
Provider NameAlbert John Halls
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063476471
PECOS PAC ID: 0547230492
Enrollment ID: I20140509001952
Provider NameAnn M Aldrich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437713542
PECOS PAC ID: 8921332131
Enrollment ID: I20190621001391
Provider NamePaige D Mclean
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316586225
PECOS PAC ID: 9234550112
Enrollment ID: I20200601002362
Provider NameColleen M Forst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982292116
PECOS PAC ID: 5698179075
Enrollment ID: I20210806001444
Provider NameMichael A Crum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881694248
PECOS PAC ID: 4284668096
Enrollment ID: I20220512001103
Provider NameJennifer Eaton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518365881
PECOS PAC ID: 0941525463
Enrollment ID: I20220519002559
Provider NameCrystal R Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447915483
PECOS PAC ID: 9032509229
Enrollment ID: I20220805000560
Provider NameLaura Wagner Crum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114168440
PECOS PAC ID: 3375690423
Enrollment ID: I20220912002525
Provider NameSuzanne E Omrod
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023378676
PECOS PAC ID: 7810110228
Enrollment ID: I20230210000120
Provider NameFrances Butler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972111375
PECOS PAC ID: 9537568167
Enrollment ID: I20230929002534
Provider NameBenzon H Huynh
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1477080612
PECOS PAC ID: 3577919919
Enrollment ID: I20231026000492
Provider NameAllison Marie Denston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184406407
PECOS PAC ID: 7517304645
Enrollment ID: I20240325001153
Provider NameHeather Colleen Frisby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417725805
PECOS PAC ID: 4880031939
Enrollment ID: I20240325002104
Provider NameDeborah C Gootee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356337208
PECOS PAC ID: 4789614645
Enrollment ID: I20240425000111
Provider NameMichael Rhodes King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699545848
PECOS PAC ID: 5193165298
Enrollment ID: I20240508002497
Provider NameNicole Freda Wynder
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1245567866
PECOS PAC ID: 1052757101
Enrollment ID: I20240611002070
Provider NameMary Kathryn Michaelis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962267997
PECOS PAC ID: 5890237440
Enrollment ID: I20241022001752
Provider NameHermes Yanuel Silva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558134593
PECOS PAC ID: 1153853692
Enrollment ID: I20241022002219
Provider NameJohn Cothern
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295237006
PECOS PAC ID: 1951785377
Enrollment ID: I20241023003432
Provider NameMary Louise Kuhn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639654122
PECOS PAC ID: 1759627177
Enrollment ID: I20250422000234

Reviews and Comments


Clinic/Center in New Church, VA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.