| Eventus Premier Healthcare Llc | |
|
250 Browns Hill Ct Midlothian VA 23114-9510 | |
| (980) 271-2563 | |
| Not Available |
| Full Name | Eventus Premier Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 250 Browns Hill Ct, Midlothian, Virginia |
| Authorized Official Name and Position | Bradley Goad (OWNER) |
| Authorized Official Contact | 8449325700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eventus Premier Healthcare Llc Po Box 1431 Dept 380 Charlotte NC 28201-1431 Ph: (844) 932-5700 | Eventus Premier Healthcare Llc 250 Browns Hill Ct Midlothian VA 23114-9510 Ph: (980) 271-2563 |
| NPI Number | 1437998309 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 06/11/2026 |
| Medicare PECOS PAC ID | 6305381013 |
|---|---|
| Medicare Enrollment ID | O20240717001731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437998309 | NPI | - | NPPES |
| Provider Name | Bradley J Goad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285617241 PECOS PAC ID: 1456244391 Enrollment ID: I20040205000124 |
| Provider Name | Vanessa Jean Sturgill Fant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225013428 PECOS PAC ID: 1052205473 Enrollment ID: I20040209000404 |
| Provider Name | Donald R Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447219688 PECOS PAC ID: 1759299761 Enrollment ID: I20040611000290 |
| Provider Name | Victor H Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558369827 PECOS PAC ID: 0941248660 Enrollment ID: I20050422000550 |
| Provider Name | Uzma Manzar Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003828724 PECOS PAC ID: 0547298614 Enrollment ID: I20050729000752 |
| Provider Name | Susan Kinnison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568441046 PECOS PAC ID: 3476573825 Enrollment ID: I20051130000172 |
| Provider Name | Christy A Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942491865 PECOS PAC ID: 0749376598 Enrollment ID: I20071010000197 |
| Provider Name | Keith Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417933870 PECOS PAC ID: 3577631043 Enrollment ID: I20081010000220 |
| Provider Name | Michon Bechamps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356539472 PECOS PAC ID: 4385712645 Enrollment ID: I20081014000386 |
| Provider Name | Stacy J Gambill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457436008 PECOS PAC ID: 5092883355 Enrollment ID: I20081014000413 |
| Provider Name | John M Stauffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538190434 PECOS PAC ID: 5890849418 Enrollment ID: I20090817000732 |
| Provider Name | Nevin Daniel Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154552388 PECOS PAC ID: 1759436603 Enrollment ID: I20090828000571 |
| Provider Name | William C Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699773531 PECOS PAC ID: 1850429903 Enrollment ID: I20100511000180 |
| Provider Name | Mark Mandichak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386849644 PECOS PAC ID: 9537292511 Enrollment ID: I20100727000906 |
| Provider Name | Kenneth E Fore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407059637 PECOS PAC ID: 4688798655 Enrollment ID: I20100826001213 |
| Provider Name | Lisa E Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649239021 PECOS PAC ID: 7517148380 Enrollment ID: I20110228000167 |
| Provider Name | Patrick E Baroco |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558341248 PECOS PAC ID: 4688856917 Enrollment ID: I20110308000828 |
| Provider Name | Jessica D Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558556076 PECOS PAC ID: 9931293719 Enrollment ID: I20120225000176 |
| Provider Name | Marla Norris Alger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992067987 PECOS PAC ID: 3072760305 Enrollment ID: I20120821001136 |
| Provider Name | Crystal K Blosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225375520 PECOS PAC ID: 1658516752 Enrollment ID: I20130320000313 |
| Provider Name | Jonathan M Boring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093039489 PECOS PAC ID: 9234372434 Enrollment ID: I20130906000221 |
| Provider Name | Jamie Wood Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184063315 PECOS PAC ID: 0345484408 Enrollment ID: I20130912000095 |
| Provider Name | Sarah E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881027373 PECOS PAC ID: 2264676295 Enrollment ID: I20130913000122 |
| Provider Name | Jessica S Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780941831 PECOS PAC ID: 2365604790 Enrollment ID: I20140825000344 |
| Provider Name | Kirsten L Hinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255615233 PECOS PAC ID: 0446572762 Enrollment ID: I20141122000272 |
| Provider Name | Kelly A Wittenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073868519 PECOS PAC ID: 2163674722 Enrollment ID: I20150610002219 |
| Provider Name | Natasha Ballentine Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992181085 PECOS PAC ID: 8628386554 Enrollment ID: I20150925002691 |
| Provider Name | Ryan A Carlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710378195 PECOS PAC ID: 4981923455 Enrollment ID: I20160112001221 |
| Provider Name | Jessica Marie Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881148732 PECOS PAC ID: 3678860764 Enrollment ID: I20160916000981 |
| Provider Name | Farrah Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881146694 PECOS PAC ID: 9931481959 Enrollment ID: I20170126000687 |
| Provider Name | Michie Armell Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659815736 PECOS PAC ID: 8224313762 Enrollment ID: I20170323000733 |
| Provider Name | Michael Pittmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255865333 PECOS PAC ID: 5294002143 Enrollment ID: I20170524000731 |
| Provider Name | Caroline M Chisholm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134546070 PECOS PAC ID: 8426342593 Enrollment ID: I20170712002210 |
| Provider Name | Polly Arey Cason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851817175 PECOS PAC ID: 3577829555 Enrollment ID: I20171107002766 |
| Provider Name | Candace Marie Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821513771 PECOS PAC ID: 2466719026 Enrollment ID: I20171206003039 |
| Provider Name | Jessica C Roes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407332117 PECOS PAC ID: 0941551766 Enrollment ID: I20180918002689 |
| Provider Name | Rachel M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992299903 PECOS PAC ID: 6507101946 Enrollment ID: I20181213000727 |
| Provider Name | Barbara Jean Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932697596 PECOS PAC ID: 4385986041 Enrollment ID: I20190429001424 |
| Provider Name | Jamie N Spradlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386113983 PECOS PAC ID: 6406198811 Enrollment ID: I20190506001703 |
| Provider Name | Paul R Tompkins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053706754 PECOS PAC ID: 2860706645 Enrollment ID: I20191024000715 |
| Provider Name | Kelsey Campbell Fortin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205485539 PECOS PAC ID: 8921433715 Enrollment ID: I20200124002268 |
| Provider Name | Ahmad T Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710082425 PECOS PAC ID: 3072407451 Enrollment ID: I20200407003885 |
| Provider Name | Angela E Shearer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154930022 PECOS PAC ID: 9739508276 Enrollment ID: I20201001002228 |
| Provider Name | David Majure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578536074 PECOS PAC ID: 5799765871 Enrollment ID: I20201117000953 |
| Provider Name | Molly E Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821695578 PECOS PAC ID: 1850704750 Enrollment ID: I20210114001390 |
| Provider Name | Crystal Leigh O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902478365 PECOS PAC ID: 0345646014 Enrollment ID: I20210903000294 |
| Provider Name | Emily J Staples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477914893 PECOS PAC ID: 9436406006 Enrollment ID: I20210928002652 |
| Provider Name | Chelsey L Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801569041 PECOS PAC ID: 2769880723 Enrollment ID: I20211006001818 |
| Provider Name | Emily Rebecca Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659942043 PECOS PAC ID: 0345648796 Enrollment ID: I20211014003295 |
| Provider Name | Ashley N Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154994622 PECOS PAC ID: 6709274087 Enrollment ID: I20211020000363 |
| Provider Name | Karissa Lynn Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275105132 PECOS PAC ID: 7618365735 Enrollment ID: I20211022000481 |
| Provider Name | Leanna Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760051676 PECOS PAC ID: 1658760798 Enrollment ID: I20211111001767 |
| Provider Name | Alyssa B Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275296477 PECOS PAC ID: 5597154054 Enrollment ID: I20211123000415 |
| Provider Name | Branda Best Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265197388 PECOS PAC ID: 2567854904 Enrollment ID: I20220118000073 |
| Provider Name | Tammy Bogart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366543316 PECOS PAC ID: 6204971443 Enrollment ID: I20220401000103 |
| Provider Name | Jessica R Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750023875 PECOS PAC ID: 1951798602 Enrollment ID: I20220427000848 |
| Provider Name | Penny Marie Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083357099 PECOS PAC ID: 8325435662 Enrollment ID: I20220505000042 |
| Provider Name | Stephen M Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295484681 PECOS PAC ID: 2062890775 Enrollment ID: I20220609000275 |
| Provider Name | Michael Saval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407483894 PECOS PAC ID: 6204748866 Enrollment ID: I20220929001736 |
| Provider Name | Sharee Birkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528782356 PECOS PAC ID: 1254708647 Enrollment ID: I20221027000593 |
| Provider Name | Traci Rowlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144946922 PECOS PAC ID: 0143697227 Enrollment ID: I20221102001017 |
| Provider Name | Johanna Steege French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033831805 PECOS PAC ID: 1557739133 Enrollment ID: I20221202000357 |
| Provider Name | Ashley S Minton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467173641 PECOS PAC ID: 7113399726 Enrollment ID: I20230208001049 |
| Provider Name | Rebecca S. Oquinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811579865 PECOS PAC ID: 0345636098 Enrollment ID: I20230208002841 |
| Provider Name | Rhonda L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255050209 PECOS PAC ID: 6901270040 Enrollment ID: I20230313002052 |
| Provider Name | Samantha Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154824498 PECOS PAC ID: 5799030862 Enrollment ID: I20230503002240 |
| Provider Name | Karen Renee Robinette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376230052 PECOS PAC ID: 1658738190 Enrollment ID: I20230527000126 |
| Provider Name | Nauras Hwig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396237582 PECOS PAC ID: 6406109529 Enrollment ID: I20230614003958 |
| Provider Name | Megan Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063889749 PECOS PAC ID: 0446550974 Enrollment ID: I20230928001949 |
| Provider Name | Karlie Wampler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093406571 PECOS PAC ID: 1355797085 Enrollment ID: I20231031003589 |
| Provider Name | Tanya Chera West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942072780 PECOS PAC ID: 5193172377 Enrollment ID: I20231109000797 |
| Provider Name | Elaine M Dunnivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639944531 PECOS PAC ID: 8527417419 Enrollment ID: I20231218003504 |
| Provider Name | Stephany Chewning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609551811 PECOS PAC ID: 5890139422 Enrollment ID: I20240222000018 |
| Provider Name | Jennifer Hess Blake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801574074 PECOS PAC ID: 6901245935 Enrollment ID: I20240423002904 |
| Provider Name | Samantha Halterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669245874 PECOS PAC ID: 6709329709 Enrollment ID: I20240619000034 |
| Provider Name | Andreshia Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093571242 PECOS PAC ID: 6800330143 Enrollment ID: I20240627003551 |
| Provider Name | James Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144705955 PECOS PAC ID: 5799029062 Enrollment ID: I20240722002669 |
| Provider Name | Staci Naomi Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336983394 PECOS PAC ID: 2264979210 Enrollment ID: I20240919000171 |
| Provider Name | Michelle Page Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508690710 PECOS PAC ID: 5799065702 Enrollment ID: I20241021000326 |
| Provider Name | Nicole Danh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871311381 PECOS PAC ID: 1759818222 Enrollment ID: I20241223000003 |
| Provider Name | Chelsea Sue Slagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538926357 PECOS PAC ID: 6204363773 Enrollment ID: I20241223000037 |
| Provider Name | Jennifer Lynn Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366263055 PECOS PAC ID: 3577090992 Enrollment ID: I20241226000957 |
| Provider Name | Bethany R Rife |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790492445 PECOS PAC ID: 3476081399 Enrollment ID: I20250106002827 |
| Provider Name | Karen Webster Drew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982281648 PECOS PAC ID: 2163888637 Enrollment ID: I20250109002606 |
| Provider Name | Elaine Sy Mccraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467234393 PECOS PAC ID: 7012446768 Enrollment ID: I20250124000485 |
| Provider Name | Mildred Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629362199 PECOS PAC ID: 5890963193 Enrollment ID: I20250124003565 |
| Provider Name | Laurie Klimczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588046239 PECOS PAC ID: 7719294735 Enrollment ID: I20250317002775 |
| Provider Name | Sondra Cobbler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396567517 PECOS PAC ID: 0941722904 Enrollment ID: I20250319001605 |
| Provider Name | Jeremy Poling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962925818 PECOS PAC ID: 3173045846 Enrollment ID: I20250321003579 |
| Provider Name | Jalane Sernessa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154076271 PECOS PAC ID: 0749668150 Enrollment ID: I20250324000268 |
| Provider Name | Ahsan Afzal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316263692 PECOS PAC ID: 1052553914 Enrollment ID: I20250328003465 |
| Provider Name | Larreasha Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811505803 PECOS PAC ID: 6204253958 Enrollment ID: I20250408003330 |
| Provider Name | Parker David Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881303741 PECOS PAC ID: 4688199391 Enrollment ID: I20250415003049 |
| Provider Name | Kourtney Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972910602 PECOS PAC ID: 6406163070 Enrollment ID: I20250422000613 |
| Provider Name | Princess A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336958321 PECOS PAC ID: 9931624962 Enrollment ID: I20250422002888 |
| Provider Name | Betsy Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851648398 PECOS PAC ID: 7911239199 Enrollment ID: I20250422003388 |
| Provider Name | Kristin Daveen Bowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992923783 PECOS PAC ID: 5294887808 Enrollment ID: I20250423002573 |
| Provider Name | Stephanie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647033 PECOS PAC ID: 9335400860 Enrollment ID: I20250424002420 |
| Provider Name | Challen Marie Mabry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073996302 PECOS PAC ID: 2769908391 Enrollment ID: I20250428001694 |
| Provider Name | Stephanie Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528854452 PECOS PAC ID: 1153848064 Enrollment ID: I20250505002022 |
Threshold Medical, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2621 Promenade Pkwy Ste 101, Midlothian, VA 23113 Phone: 804-897-3746 | |
Bon Secours St. Francis Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Watkins Centre Pkwy Ste 250, Midlothian, VA 23114 Phone: 804-423-8470 Fax: 804-423-8471 | |
Eventus Wh Mid-atlantic Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Browns Hill Ct, Midlothian, VA 23114 Phone: 855-743-2247 | |
Bon Secours St. Francis Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Charter Colony Pkwy, Midlothian, VA 23114 Phone: 804-281-0275 Fax: 804-521-9344 | |
Midlomed Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5930 Harbour Park Dr, Midlothian, VA 23112 Phone: 804-893-0337 Fax: 689-202-0711 | |
Richmond Infectious Disease Associates, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13700 St Francis Blvd, Suite 505, Midlothian, VA 23114 Phone: 804-276-7125 Fax: 804-276-7126 | |
Primary Health Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13861 Hull Street Rd, Midlothian, VA 23112 Phone: 804-739-0910 Fax: 804-739-2763 |