| Virginia Home Based Primary Care | |
|
1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 | |
| (757) 994-1103 | |
| Not Available |
| Full Name | Virginia Home Based Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1545 Crossways Blvd Ste 250, Chesapeake, Virginia |
| Authorized Official Name and Position | William Mills (PRESIDENT) |
| Authorized Official Contact | 8008660860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Home Based Primary Care 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: (502) 394-2100 | Virginia Home Based Primary Care 1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 Ph: (757) 994-1103 |
| NPI Number | 1841920287 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 04/15/2024 |
| Medicare PECOS PAC ID | 4981767597 |
|---|---|
| Medicare Enrollment ID | O20220916003034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841920287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Vernis L Beverly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508821174 PECOS PAC ID: 0143205161 Enrollment ID: I20040623000018 |
| Provider Name | Suzette Worbois |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306946249 PECOS PAC ID: 6406019348 Enrollment ID: I20120514000121 |
| Provider Name | Stephanie Michelle Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508510553 PECOS PAC ID: 5092109819 Enrollment ID: I20220221002225 |
| Provider Name | Karen Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386189918 PECOS PAC ID: 8820483746 Enrollment ID: I20220311000414 |
| Provider Name | Miranda Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376662833 PECOS PAC ID: 8325194590 Enrollment ID: I20220916003114 |
| Provider Name | Omar Ramos Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922594167 PECOS PAC ID: 9638427396 Enrollment ID: I20231205001167 |
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