| James River Family Practice, Llc | |
|
11835 Fishing Point Dr Suite 104 Newport News VA 23606-2584 | |
| (757) 599-5588 | |
| (757) 599-6893 |
| Full Name | James River Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11835 Fishing Point Dr, Newport News, Virginia |
| Authorized Official Name and Position | Eric Kroetsch (REVENUE MANAGER) |
| Authorized Official Contact | 8883602288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James River Family Practice, Llc 1007 N Federal Hwy # 381 Fort Lauderdale FL 33304-1422 Ph: (757) 271-4091 | James River Family Practice, Llc 11835 Fishing Point Dr Suite 104 Newport News VA 23606-2584 Ph: (757) 599-5588 |
| NPI Number | 1427290352 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 03/19/2025 |
| Medicare PECOS PAC ID | 6103977616 |
|---|---|
| Medicare Enrollment ID | O20090623000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427290352 | NPI | - | NPPES |
| 1508086257 | Other | VA | ANTHEM BLUE CROSS AND BLUE SHIELD |
| 1659301430 | Medicaid | VA | |
| 1902899016 | Other | VA | ANTHEM BLUE CROSS AN BLUE SHIELD |
| 1902899016 | Medicaid | VA | |
| 14078914833 | Other | VA | ANTHEM BLUE CROSS AND BLUE SHIELD |
| 14078914833 | Medicaid | VA | |
| 1508086257 | Medicaid | VA | |
| 1659301430 | Other | ANTHEM BLUE CROSS AND BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James Mathew Halverson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902899016 PECOS PAC ID: 3375430689 Enrollment ID: I20040302001313 |
| Provider Name | Jerome A Provenzano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891760039 PECOS PAC ID: 3971515388 Enrollment ID: I20060630000109 |
| Provider Name | Stephanie Michelle Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508510553 PECOS PAC ID: 5092109819 Enrollment ID: I20220221002225 |
Maryview Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602 Phone: 757-947-3190 Fax: 757-947-3195 | |
Riverside Physician Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Bruton Ave, Newport News, VA 23601 Phone: 757-594-4111 Fax: 757-594-4115 | |
Peninsula Institute For Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 28th St, 2nd Floor, Newport News, VA 23607 Phone: 757-591-0643 Fax: 757-591-0682 | |
Riverside Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12420 Warwick Blvd, Bldg. 3 Suite 4a, Newport News, VA 23606 Phone: 757-534-5509 Fax: 757-534-6096 | |
Riverside Physician Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 J Clyde Morris Blvd Ste C, Newport News, VA 23601 Phone: 757-875-2050 Fax: 757-875-2070 | |
Health Hero Mid-atlantic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Island View Dr, Newport News, VA 23602 Phone: 757-869-4983 | |
Commonwealth Of Virginia/state Board Of Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 836 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-594-7305 Fax: 757-594-7714 |