| Premier Acute Care Services LLC | |
|
17065 Merchants Dr Ruther Glen VA 22546-5805 | |
| (804) 220-6044 | |
| Not Available |
| Full Name | Premier Acute Care Services LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 17065 Merchants Dr, Ruther Glen, Virginia |
| Authorized Official Name and Position | Walid Hammad (OWNER) |
| Authorized Official Contact | 5713319288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Acute Care Services LLC 17065 Merchants Dr Ruther Glen VA 22546-5805 Ph: (804) 220-6044 | Premier Acute Care Services LLC 17065 Merchants Dr Ruther Glen VA 22546-5805 Ph: (804) 220-6044 |
| NPI Number | 1174021752 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 12/10/2025 |
| Certification Date | 12/10/2025 |
| Medicare PECOS PAC ID | 2668722216 |
|---|---|
| Medicare Enrollment ID | O20180904000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174021752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| 207Q00000X | Family Medicine | () | Secondary |
| Provider Name | Khaled Fathy Said |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902841539 PECOS PAC ID: 9537055538 Enrollment ID: I20040226000171 |
| Provider Name | Wiley H Kent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205900974 PECOS PAC ID: 1658390257 Enrollment ID: I20070411000173 |
| Provider Name | Patricia a Babbitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124254297 PECOS PAC ID: 2466508015 Enrollment ID: I20090923000135 |
| Provider Name | Walid M Hammad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710265210 PECOS PAC ID: 3375713779 Enrollment ID: I20160309000585 |
| Provider Name | Sohaib Elsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992955777 PECOS PAC ID: 0446493886 Enrollment ID: I20170327001573 |
| Provider Name | Tatsiana Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669542395 PECOS PAC ID: 6305850199 Enrollment ID: I20191114000022 |
| Provider Name | Tara Rotante |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033677448 PECOS PAC ID: 1850718628 Enrollment ID: I20200826000411 |
| Provider Name | Cassidi Ann Hesdon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629557111 PECOS PAC ID: 8921343237 Enrollment ID: I20201026002302 |
Tibs for Kids Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11073 Colonel Armistead Dr Ste 107-b, Ruther Glen, VA 22546 Phone: 540-680-3039 Fax: 540-875-2499 |