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 780 Lynnhaven Pkwy Ste 400, Virginia Bch, Virginia. For appointments, you can reach them via phone at (757) 536-2246. The mailing address for Legacy Care Aco LLC is Po Box 830063, Philadelphia, Pennsylvania and phone number is (757) 536-2246.

Legacy Care Aco LLC is licensed to practice in (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
780 Lynnhaven Pkwy Ste 400
Virginia Bch
VA 23452-7332
(757) 536-2246
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLegacy Care Aco LLC
SpecialityFamily Medicine
Location780 Lynnhaven Pkwy Ste 400, 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
Po Box 830063
Philadelphia
PA 19182-0063

Ph: (757) 536-2246		Legacy Care Aco LLC
780 Lynnhaven Pkwy Ste 400
Virginia Bch
VA 23452-7332

Ph: (757) 536-2246

NPI Details:

NPI Number1538844857
Provider Enumeration Date06/15/2023
Last Update Date03/20/2026
Certification Date03/20/2026

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 ()Primary
207QG0300XFamily Medicine - Geriatric Medicine ()Secondary
207R00000XInternal Medicine ()Secondary
207RG0300XInternal Medicine - Geriatric Medicine ()Secondary
363L00000XNurse Practitioner ()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 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 NameCourtney T Amoah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699782920
PECOS PAC ID: 6901855196
Enrollment ID: I20050114000067
Provider NameLisa Jaclyn Hall
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1356349047
PECOS PAC ID: 0840224408
Enrollment ID: I20050922000834
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 NameSolomie Asmelash Mesghina
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1780824482
PECOS PAC ID: 3476602202
Enrollment ID: I20090527000199
Provider NameSharon Craft
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760693089
PECOS PAC ID: 3779621370
Enrollment ID: I20091118000407
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 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 NameLatara C Carney Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508125352
PECOS PAC ID: 2365699352
Enrollment ID: I20120827000465
Provider NameHeather Dawn Mullen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124356290
PECOS PAC ID: 6204072135
Enrollment ID: I20130617000063
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 NameTatsiana Khalmanskaya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952725822
PECOS PAC ID: 0749501336
Enrollment ID: I20150608002371
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 NameClotilde Ramos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003362799
PECOS PAC ID: 4385924190
Enrollment ID: I20161214001119
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 NameDelia Esther Acuna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679008973
PECOS PAC ID: 8527333236
Enrollment ID: I20171005002831
Provider NameJanine N Prime
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669996062
PECOS PAC ID: 7315213444
Enrollment ID: I20171018000161
Provider NameJennifer Latasha Fields
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447765573
PECOS PAC ID: 6800150004
Enrollment ID: I20180515001687
Provider NameSarah Karimi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295121424
PECOS PAC ID: 5395088793
Enrollment ID: I20190807002503
Provider NameShawlawn Freeman-hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598305906
PECOS PAC ID: 5698197457
Enrollment ID: I20200624000890
Provider NameBalal Arshid
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326482050
PECOS PAC ID: 3870898356
Enrollment ID: I20200807002550
Provider NameKatina Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023628534
PECOS PAC ID: 2668884040
Enrollment ID: I20201208002179
Provider NameMichelle Lazarus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336782788
PECOS PAC ID: 6507294436
Enrollment ID: I20210212000186
Provider NameLouis Sakwe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104309186
PECOS PAC ID: 5597018796
Enrollment ID: I20210713000984
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 NameYarnell Whitby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932834348
PECOS PAC ID: 6103294822
Enrollment ID: I20221130000373
Provider NameJeffrey S Colburn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780979211
PECOS PAC ID: 8022261692
Enrollment ID: I20230523003477
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 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 NameKavitha Bagadi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871782961
PECOS PAC ID: 8921295981
Enrollment ID: I20240321001135
Provider NameRebecca Schwartz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578252862
PECOS PAC ID: 4789024902
Enrollment ID: I20240503002559
Provider NameCheryl D Canty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033942693
PECOS PAC ID: 5294268066
Enrollment ID: I20241031003111
Provider NameMeoshia Battle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083434781
PECOS PAC ID: 4486183365
Enrollment ID: I20250122000806
Provider NameLogan Bauserman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609603927
PECOS PAC ID: 6305376203
Enrollment ID: I20250215000180
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 NameBrenda Fish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447638325
PECOS PAC ID: 0244545820
Enrollment ID: I20250411001516
Provider NameRolando Del Aguila Suarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184437154
PECOS PAC ID: 8426573395
Enrollment ID: I20250423002247
Provider NameMeghan Sandbek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871395244
PECOS PAC ID: 9830601483
Enrollment ID: I20250620001082
Provider NameKosisochukwu Oraka
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386375517
PECOS PAC ID: 7012420805
Enrollment ID: I20250703001973
Provider NameKomalpreet Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568252922
PECOS PAC ID: 3072013655
Enrollment ID: I20250827000326
Provider NameKumarie Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124873666
PECOS PAC ID: 2769969187
Enrollment ID: I20260116000138
Provider NameHildreth Mason-leon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699621987
PECOS PAC ID: 9032693403
Enrollment ID: I20260324002196

Reviews and Comments

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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.