Legacy Care Aco Llc - Medicare Primary Care in Virginia Bch, VA

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Legacy Care Aco Llc is a medicare enrolled primary clinic (Family Medicine) in Virginia Bch, Virginia. The current practice location for Legacy Care Aco Llc is 123 S Lynnhaven Rd Ste 102, Virginia Bch, Virginia. For appointments, you can reach them via phone at (757) 536-2246. The mailing address for Legacy Care Aco Llc is 123 S Lynnhaven Rd Ste 102, Virginia Bch, Virginia and phone number is (757) 536-2246.

Legacy Care Aco Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538844857. 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) 536-2246.

Contact Information

Legacy Care Aco Llc
123 S Lynnhaven Rd Ste 102
Virginia Bch
VA 23452-7401
(757) 536-2246
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLegacy Care Aco Llc
SpecialityFamily Medicine
Location123 S Lynnhaven Rd Ste 102, Virginia Bch, Virginia
Authorized Official Name and PositionTraci Lopez (DIRECTOR REVENUE CYCLE)
Authorized Official Contact7575362411
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Care Aco Llc
123 S Lynnhaven Rd Ste 102
Virginia Bch
VA 23452-7401

Ph: (757) 536-2246		Legacy Care Aco Llc
123 S Lynnhaven Rd Ste 102
Virginia Bch
VA 23452-7401

Ph: (757) 536-2246

NPI Details:

NPI Number1538844857
Provider Enumeration Date06/15/2023
Last Update Date12/03/2025

Medicare PECOS Information:

Medicare PECOS PAC ID3274996426
Medicare Enrollment IDO20230906000290

Medical Identifiers

Medical identifiers for Legacy Care Aco Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538844857NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary
207Q00000XFamily Medicine (* (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. Legacy Care Aco Llc acts as a billing entity for following providers:
Provider NameAmjad Mughal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790862746
PECOS PAC ID: 0244227981
Enrollment ID: I20040426001925
Provider NameNiraj Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932145422
PECOS PAC ID: 8628069382
Enrollment ID: I20040520001316
Provider NameRex D Biedenbender
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1184696148
PECOS PAC ID: 4880660620
Enrollment ID: I20040902001460
Provider NameGerard Abate
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669565636
PECOS PAC ID: 4981664596
Enrollment ID: I20041018000365
Provider NameRumki C Banerjee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871702712
PECOS PAC ID: 1850487661
Enrollment ID: I20071009000935
Provider NameFrancis M Taylor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336222157
PECOS PAC ID: 0648233395
Enrollment ID: I20071101000171
Provider NameJesus A Martinez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588616908
PECOS PAC ID: 8224924964
Enrollment ID: I20071213000272
Provider NameDanny W Felty
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730164971
PECOS PAC ID: 8729163522
Enrollment ID: I20080304000295
Provider NameHelen Habtemichael
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235320854
PECOS PAC ID: 6103904412
Enrollment ID: I20080425000522
Provider NameColeen P Kenny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811071905
PECOS PAC ID: 9335283613
Enrollment ID: I20100224000866
Provider NamePauravi Sanghadia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609946201
PECOS PAC ID: 0446357214
Enrollment ID: I20110804000511
Provider NameMark J Hippenstiel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265497838
PECOS PAC ID: 6103919139
Enrollment ID: I20111206000625
Provider NameKathleen Marie Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104157650
PECOS PAC ID: 3375700446
Enrollment ID: I20120201000021
Provider NamePatricia L Schmitz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578668398
PECOS PAC ID: 9739134966
Enrollment ID: I20120206000029
Provider NameMelissa L Stanley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083988778
PECOS PAC ID: 4587825898
Enrollment ID: I20120413000153
Provider NameHeather Dawn Mullen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124356290
PECOS PAC ID: 6204072135
Enrollment ID: I20130617000063
Provider NameCathy A Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881033199
PECOS PAC ID: 3072756493
Enrollment ID: I20130903000627
Provider NameCandice Shirlen Hughes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376864496
PECOS PAC ID: 8022255991
Enrollment ID: I20131015000027
Provider NameJared D March
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073834156
PECOS PAC ID: 4789831595
Enrollment ID: I20131030001895
Provider NameSejal S Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457663320
PECOS PAC ID: 8022231612
Enrollment ID: I20140529001378
Provider NameTeashia G Roeske
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689053142
PECOS PAC ID: 6901119080
Enrollment ID: I20150717002254
Provider NameFei Han
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669837118
PECOS PAC ID: 1850694423
Enrollment ID: I20160115000024
Provider NameJonee Marie Purvis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417312133
PECOS PAC ID: 9537467451
Enrollment ID: I20160411000113
Provider NameDarshana Chadda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194920140
PECOS PAC ID: 1456496850
Enrollment ID: I20160610000695
Provider NameJaimie S Tahir
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528420544
PECOS PAC ID: 7719270503
Enrollment ID: I20160802000549
Provider NameN'deevaw Artis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194177527
PECOS PAC ID: 1153616982
Enrollment ID: I20160906002456
Provider NameGernita Lazale Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831574177
PECOS PAC ID: 0547560930
Enrollment ID: I20161107000156
Provider NameJulie A Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811446412
PECOS PAC ID: 5799065496
Enrollment ID: I20161215002066
Provider NameVanessa P Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902348121
PECOS PAC ID: 3971885096
Enrollment ID: I20170126000137
Provider NameEdwan Tifuh Mayo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508213398
PECOS PAC ID: 6608159363
Enrollment ID: I20170203001785
Provider NameDarniesha Greene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710427653
PECOS PAC ID: 4789961350
Enrollment ID: I20170509000537
Provider NameKristel Denise Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841641503
PECOS PAC ID: 2466729991
Enrollment ID: I20170605000021
Provider NameJacqueline Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124109624
PECOS PAC ID: 8123393956
Enrollment ID: I20180104000585
Provider NameJennifer Latasha Fields
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447765573
PECOS PAC ID: 6800150004
Enrollment ID: I20180515001687
Provider NameChassitie Gomez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720574726
PECOS PAC ID: 1153671011
Enrollment ID: I20180913003435
Provider NameJoanne Emilia Sproule
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528551728
PECOS PAC ID: 4880928886
Enrollment ID: I20190625003075
Provider NameAmanda R Welch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134627169
PECOS PAC ID: 3779828421
Enrollment ID: I20190917003780
Provider NameJennifer Nicole Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134756802
PECOS PAC ID: 1850722596
Enrollment ID: I20200512002902
Provider NameKatina Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023628534
PECOS PAC ID: 2668884040
Enrollment ID: I20201208002179
Provider NameMargarita Maria Marmolejo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760035810
PECOS PAC ID: 9032524764
Enrollment ID: I20210210002252
Provider NameMichelle Lazarus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336782788
PECOS PAC ID: 6507294436
Enrollment ID: I20210212000186
Provider NameKenjilyn Uchida Ares
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932708971
PECOS PAC ID: 8820403025
Enrollment ID: I20210222001547
Provider NameMarquail Mcbride
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659943843
PECOS PAC ID: 3375933773
Enrollment ID: I20211129000724
Provider NameHaise S Reardon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851065684
PECOS PAC ID: 1557756210
Enrollment ID: I20220315002146
Provider NameStacie Pittman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144899592
PECOS PAC ID: 3870980758
Enrollment ID: I20220422001695
Provider NameDavid Toshio Eki
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215438221
PECOS PAC ID: 7517354145
Enrollment ID: I20220504002163
Provider NameYunique Carrington Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598406746
PECOS PAC ID: 0042691685
Enrollment ID: I20220713004390
Provider NameArnel Agravante Lacerna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912636481
PECOS PAC ID: 9830565464
Enrollment ID: I20221021001658
Provider NameDanielle Gresham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679299556
PECOS PAC ID: 4880064567
Enrollment ID: I20221222000361
Provider NameAngela Harris-bonner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134566334
PECOS PAC ID: 6002281797
Enrollment ID: I20230411002217
Provider NameJeffrey S Colburn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780979211
PECOS PAC ID: 8022261692
Enrollment ID: I20230523003477
Provider NameOlatunde Akinfolajimi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295423887
PECOS PAC ID: 7719346733
Enrollment ID: I20230707002761
Provider NameMonica Latoya Alade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396520318
PECOS PAC ID: 7214382829
Enrollment ID: I20231017000183
Provider NameCourtney R Wyatt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568246395
PECOS PAC ID: 9537514112
Enrollment ID: I20231017003204
Provider NameSabrina Gregory Hancock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669157186
PECOS PAC ID: 6305294927
Enrollment ID: I20231121000536
Provider NameMee Young Sowa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902586423
PECOS PAC ID: 0941650212
Enrollment ID: I20231228002527
Provider NameManju Jose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023885373
PECOS PAC ID: 5698125029
Enrollment ID: I20240109000113
Provider NameEvelyn Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467787382
PECOS PAC ID: 2567590458
Enrollment ID: I20240416000099
Provider NameBrittney Danielle Blowe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942851514
PECOS PAC ID: 3072047497
Enrollment ID: I20241107003055
Provider NameEbony Christine Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861958001
PECOS PAC ID: 8022548890
Enrollment ID: I20250207003281
Provider NameJudith Zirkle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518612241
PECOS PAC ID: 5193245991
Enrollment ID: I20250224002953
Provider NameToral Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649001397
PECOS PAC ID: 2062933120
Enrollment ID: I20250305001211
Provider NameCammie Christina Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073274692
PECOS PAC ID: 6608398136
Enrollment ID: I20250313002666
Provider NameRolando Alfredo Del Aguila Suarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184437154
PECOS PAC ID: 8426573395
Enrollment ID: I20250423002247
Provider NameJackyline N Kikoyo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144045899
PECOS PAC ID: 6608385208
Enrollment ID: I20250604002631

Reviews and Comments


Family Medicine in Virginia Bch, VA

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Phone: 757-473-0003    Fax: 757-497-9510
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Medicare: Not Enrolled in Medicare
Practice Location: 4772 Euclid Rd Ste D, Virginia Bch, VA 23462
Phone: 757-685-7232    

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.