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 2901 S Lynnhaven Rd Ste 450, Virginia Bch, Virginia. For appointments, you can reach them via phone at (757) 536-2411. The mailing address for Legacy Care Aco Llc is 2901 S Lynnhaven Rd Ste 450, Virginia Bch, Virginia and phone number is (757) 536-2411.

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) 536-2411.

Contact Information

Legacy Care Aco Llc
2901 S Lynnhaven Rd Ste 450
Virginia Bch
VA 23452-8524
(757) 536-2411
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLegacy Care Aco Llc
SpecialityFamily Medicine
Location2901 S Lynnhaven Rd Ste 450, 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
2901 S Lynnhaven Rd Ste 450
Virginia Bch
VA 23452-8524

Ph: (757) 536-2411		Legacy Care Aco Llc
2901 S Lynnhaven Rd Ste 450
Virginia Bch
VA 23452-8524

Ph: (757) 536-2411

NPI Details:

NPI Number1538844857
Provider Enumeration Date06/15/2023
Last Update Date07/06/2023

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
207Q00000XFamily Medicine (* (Not Available))Primary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

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 NameSyed A Rehman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205827615
PECOS PAC ID: 0042104861
Enrollment ID: I20040212000043
Provider NameAmjad Mughal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790862746
PECOS PAC ID: 0244227981
Enrollment ID: I20040426001925
Provider NameRex D Biedenbender
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1184696148
PECOS PAC ID: 4880660620
Enrollment ID: I20040902001460
Provider NamePadmalatha Dharanikota
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922099720
PECOS PAC ID: 6709821333
Enrollment ID: I20050624000010
Provider NameElizabeth Perkinson Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578551016
PECOS PAC ID: 2466487525
Enrollment ID: I20050928000563
Provider NameAparna Ranjan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336171792
PECOS PAC ID: 4981617222
Enrollment ID: I20060803000131
Provider NameMaria Doubrovskaia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760601306
PECOS PAC ID: 9830285592
Enrollment ID: I20071011000412
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 NamePrem K Nair
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104026236
PECOS PAC ID: 5991897589
Enrollment ID: I20090901000631
Provider NameVanessa Peyton Fowlkes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467477273
PECOS PAC ID: 6800970047
Enrollment ID: I20090928000690
Provider NameCynthia Blain Bettinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548239916
PECOS PAC ID: 8527108125
Enrollment ID: I20091211000451
Provider NameColeen P Kenny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811071905
PECOS PAC ID: 9335283613
Enrollment ID: I20100224000866
Provider NameThelma Jane Pealer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326370362
PECOS PAC ID: 9234253790
Enrollment ID: I20100907000092
Provider NameEdwina C Wilson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053313957
PECOS PAC ID: 3274502760
Enrollment ID: I20101022000736
Provider NamePauravi Harkisandas Sanghadia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609946201
PECOS PAC ID: 0446357214
Enrollment ID: I20110804000511
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 NameJames David Danner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407072069
PECOS PAC ID: 5092963165
Enrollment ID: I20120914000001
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 NameFei Han
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669837118
PECOS PAC ID: 1850694423
Enrollment ID: I20160115000024
Provider NameKedest Gebreselassie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265897391
PECOS PAC ID: 0941503932
Enrollment ID: I20160126000557
Provider NameTammy S Knick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295107522
PECOS PAC ID: 5496059826
Enrollment ID: I20160205000538
Provider NameJoshua Mcafee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972856250
PECOS PAC ID: 1759680465
Enrollment ID: I20160502001789
Provider NameDarshana Chadda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194920140
PECOS PAC ID: 1456496850
Enrollment ID: I20160610000695
Provider NameDonna S Meade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619339975
PECOS PAC ID: 3779873237
Enrollment ID: I20160613000779
Provider NameJaimie Tahir
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528420544
PECOS PAC ID: 7719270503
Enrollment ID: I20160802000549
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 T Kibot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508213398
PECOS PAC ID: 6608159363
Enrollment ID: I20170203001785
Provider NameMaria Karen C Picardo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427501741
PECOS PAC ID: 8628353828
Enrollment ID: I20170331000352
Provider NameDarniesha Greene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710427653
PECOS PAC ID: 4789961350
Enrollment ID: I20170509000537
Provider NameGina L Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033655741
PECOS PAC ID: 2163798307
Enrollment ID: I20171016003187
Provider NameSteffanie A Epstein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033628185
PECOS PAC ID: 7911265426
Enrollment ID: I20171211000345
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 NameAbigail Amuquandoh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669951869
PECOS PAC ID: 6800140153
Enrollment ID: I20181126003273
Provider NameTilahun Goshu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336628551
PECOS PAC ID: 2567700107
Enrollment ID: I20190206002779
Provider NameErika C Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457860157
PECOS PAC ID: 8123387255
Enrollment ID: I20190419000731
Provider NameAlysha Nicole Bugg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619435534
PECOS PAC ID: 4284977174
Enrollment ID: I20190516000711
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 NameDustin Powers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316581366
PECOS PAC ID: 5799114393
Enrollment ID: I20200402001785
Provider NameIfeoma N Elebo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013492958
PECOS PAC ID: 8820427107
Enrollment ID: I20200408000680
Provider NameJennifer Nicole Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134756802
PECOS PAC ID: 1850722596
Enrollment ID: I20200512002902
Provider NameTakara Joy Figueroa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366962052
PECOS PAC ID: 1355766353
Enrollment ID: I20200807002494
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 NameJill Bates Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942892625
PECOS PAC ID: 3971911769
Enrollment ID: I20210415001502
Provider NameDoris T Mbony
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528326337
PECOS PAC ID: 9032539267
Enrollment ID: I20210714000816
Provider NameMarquail Mcbride
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659943843
PECOS PAC ID: 3375933773
Enrollment ID: I20211129000724
Provider NameJerreka Monay Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104415827
PECOS PAC ID: 6204226426
Enrollment ID: I20211202001251
Provider NameMartin Deal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285627786
PECOS PAC ID: 3577551019
Enrollment ID: I20220126002511
Provider NameApril Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972270098
PECOS PAC ID: 8921492778
Enrollment ID: I20220224000920
Provider NameMonique Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124786074
PECOS PAC ID: 4183019086
Enrollment ID: I20220310002560
Provider NameHaise S Reardon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851065684
PECOS PAC ID: 1557756210
Enrollment ID: I20220315002146
Provider NameJessica Deal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205204583
PECOS PAC ID: 9335458157
Enrollment ID: I20220323002887
Provider NameAshley Hendrix
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376743781
PECOS PAC ID: 4789862608
Enrollment ID: I20220324001941
Provider NameShantel Latta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962092932
PECOS PAC ID: 1254727290
Enrollment ID: I20220331000916
Provider NameDavid Toshio Eki
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215438221
PECOS PAC ID: 7517354145
Enrollment ID: I20220504002163
Provider NameJoseph Maurice Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255074993
PECOS PAC ID: 1557749439
Enrollment ID: I20220606000735
Provider NameYunique Carrington Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598406746
PECOS PAC ID: 0042691685
Enrollment ID: I20220713004390
Provider NameIris Nagin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043398340
PECOS PAC ID: 0941377725
Enrollment ID: I20220818000437
Provider NameArnel Agravante Lacerna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912636481
PECOS PAC ID: 9830565464
Enrollment ID: I20221021001658
Provider NameMelanie R De Jesus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346978475
PECOS PAC ID: 4183093974
Enrollment ID: I20221219001025
Provider NameAngela Harris-bonner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134566334
PECOS PAC ID: 6002281797
Enrollment ID: I20230411002217
Provider NameTracey A Yeboah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902430986
PECOS PAC ID: 8527420561
Enrollment ID: I20230808003228
Provider NameAmma Boafo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780373308
PECOS PAC ID: 1254791338
Enrollment ID: I20230815002797
Provider NameMonica Latoya Alade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396520318
PECOS PAC ID: 7214382829
Enrollment ID: I20231017000183
Provider NameManju T Jose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023885373
PECOS PAC ID: 5698125029
Enrollment ID: I20240109000113

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 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.