| Seek Wellbeing Housecalls Program | |
|
10040 Pentland Hills Way Bristow VA 20136 | |
| (202) 888-4959 | |
| (703) 995-0930 |
| Full Name | Seek Wellbeing Housecalls Program |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10040 Pentland Hills Way, Bristow, Virginia |
| Authorized Official Name and Position | Johanna Lynn Gaskins (OWNER) |
| Authorized Official Contact | 2028884959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seek Wellbeing Housecalls Program 10040 Pentland Hills Way Bristow VA 20136-2665 Ph: (202) 497-8348 | Seek Wellbeing Housecalls Program 10040 Pentland Hills Way Bristow VA 20136 Ph: (202) 888-4959 |
| NPI Number | 1538726203 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 5395071351 |
|---|---|
| Medicare Enrollment ID | O20190729002543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538726203 | NPI | - | NPPES |
| 10145009 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Johanna Gaskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124595103 PECOS PAC ID: 2466797147 Enrollment ID: I20190729002707 |
Youth For Tomorrow New Life Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-636-5100 Fax: 703-361-4335 | |
Uva Health Bull Run Family Medicine Bristow Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10322 Bristow Center Dr, Bristow, VA 20136 Phone: 571-284-4230 Fax: 703-257-1495 |