| Genesis Eldercare Physician Services Llc | |
|
11 Dairy Ln Fredericksburg VA 22405-2663 | |
| (540) 371-9414 | |
| Not Available |
| Full Name | Genesis Eldercare Physician Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Dairy Ln, Fredericksburg, Virginia |
| Authorized Official Name and Position | Eric Shapiro (VP, CONTROLLER) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Eldercare Physician Services Llc 801 N Salisbury Blvd Suite 201 Salisbury MD 21801-3624 Ph: (410) 494-7607 | Genesis Eldercare Physician Services Llc 11 Dairy Ln Fredericksburg VA 22405-2663 Ph: (540) 371-9414 |
| NPI Number | 1699710202 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 9830002534 |
|---|---|
| Medicare Enrollment ID | O20031121000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699710202 | NPI | - | NPPES |
| 036556400 | Medicaid | DC | |
| B018 | Other | DC | BCBS OF NATIONAL CAPITOL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
| Provider Name | Getachew Y Woldeher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073504940 PECOS PAC ID: 0749170975 Enrollment ID: I20040319000317 |
| Provider Name | Laurene Troxler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942351044 PECOS PAC ID: 1153463104 Enrollment ID: I20110524000494 |
| Provider Name | Rachel Brittany Ambrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952829665 PECOS PAC ID: 2668739095 Enrollment ID: I20171120002161 |
| Provider Name | Janne L Nicholson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033737440 PECOS PAC ID: 7315367141 Enrollment ID: I20201016002013 |
| Provider Name | Jennifer P Reluya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801562988 PECOS PAC ID: 6507250156 Enrollment ID: I20220225000503 |
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Fredericksburg Area Regional Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401 Phone: 540-741-1055 Fax: 540-741-3103 | |
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Fredericksburg Geriatric Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Townes Pl, Fredericksburg, VA 22405 Phone: 800-832-9258 | |
Jay David Brock, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Lafayette Blvd, Fredericksburg, VA 22408 Phone: 540-891-5600 Fax: 540-891-9034 | |
Medidoctors Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1428 Fax: 540-741-1420 |