| Primecare Medical | |
|
301 Goode Way Ste 102 Portsmouth VA 23704-2266 | |
| (757) 655-0935 | |
| Not Available |
| Full Name | Primecare Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 Goode Way Ste 102, Portsmouth, Virginia |
| Authorized Official Name and Position | Taylor Lawrence (BILLING MANAGER) |
| Authorized Official Contact | 7573724407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Medical 732 Eden Way N Ste E104 Chesapeake VA 23320-2798 Ph: (757) 372-4407 | Primecare Medical 301 Goode Way Ste 102 Portsmouth VA 23704-2266 Ph: (757) 655-0935 |
| NPI Number | 1053017475 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 04/24/2025 |
| Certification Date | 04/24/2025 |
| Medicare PECOS PAC ID | 7911449699 |
|---|---|
| Medicare Enrollment ID | O20240610001837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053017475 | NPI | - | NPPES |
| Provider Name | Lisa Price Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063488807 PECOS PAC ID: 6204924996 Enrollment ID: I20071113000786 |
| Provider Name | Mary F Highsmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043343163 PECOS PAC ID: 5092999391 Enrollment ID: I20110502000674 |
| Provider Name | Kiniya Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215352554 PECOS PAC ID: 1951524305 Enrollment ID: I20140603002231 |
| Provider Name | Dominique J Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710527544 PECOS PAC ID: 7810327327 Enrollment ID: I20200424001256 |
| Provider Name | Ashirifia Larsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477107985 PECOS PAC ID: 4981008042 Enrollment ID: I20210811002307 |
| Provider Name | Veronica J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760052146 PECOS PAC ID: 6507263811 Enrollment ID: I20210928003323 |
| Provider Name | Carrie Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225745094 PECOS PAC ID: 0547615684 Enrollment ID: I20231010003525 |
| Provider Name | Joel Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255192175 PECOS PAC ID: 5991231607 Enrollment ID: I20250428000243 |
| Provider Name | Latreece Arenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851261135 PECOS PAC ID: 8224512066 Enrollment ID: I20260319003362 |
| Provider Name | Phillip Northcross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831166677 PECOS PAC ID: 3577553379 Enrollment ID: I20260409001856 |
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