| Visavis Health Care Medical Group Of Va Llc | |
|
11 Dairy Ln Fredericksburg VA 22405-2663 | |
| (929) 491-7333 | |
| Not Available |
| Full Name | Visavis Health Care Medical Group Of Va Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11 Dairy Ln, Fredericksburg, Virginia |
| Authorized Official Name and Position | Rekha Bhandari (OWNER) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visavis Health Care Medical Group Of Va Llc 831 Bedford Ave Ste 530 Brooklyn NY 11205-2801 Ph: () - | Visavis Health Care Medical Group Of Va Llc 11 Dairy Ln Fredericksburg VA 22405-2663 Ph: (929) 491-7333 |
| NPI Number | 1508649278 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 09/08/2023 |
| Medicare PECOS PAC ID | 7315394798 |
|---|---|
| Medicare Enrollment ID | O20231107000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508649278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Chantz Bury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356990261 PECOS PAC ID: 3971834375 Enrollment ID: I20191016002567 |
| Provider Name | Chassidy Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720475767 PECOS PAC ID: 8022322288 Enrollment ID: I20200630003553 |
| Provider Name | Ana Hubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528370897 PECOS PAC ID: 6406080613 Enrollment ID: I20220104002336 |
| Provider Name | Bernetta Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619487303 PECOS PAC ID: 5799024246 Enrollment ID: I20230117001860 |
| Provider Name | Carissa Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20230825003367 |
| Provider Name | Jessica Fichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20230907004629 |
| Provider Name | Derek Harpole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235771874 PECOS PAC ID: 3779914965 Enrollment ID: I20231107000382 |
| Provider Name | Christine Ann Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417207788 PECOS PAC ID: 8325360910 Enrollment ID: I20231107001151 |
| Provider Name | Jessica Suzanne Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821675158 PECOS PAC ID: 5395145593 Enrollment ID: I20231110001017 |
| Provider Name | Mariama Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20231222001128 |
| Provider Name | Melvin Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033732284 PECOS PAC ID: 2365861028 Enrollment ID: I20231222001862 |
| Provider Name | Sherdina Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104153055 PECOS PAC ID: 3173431640 Enrollment ID: I20231229001663 |
| Provider Name | Njideka Ikeakor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790111557 PECOS PAC ID: 5294950176 Enrollment ID: I20240214004148 |
| Provider Name | Pramila Baral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295333144 PECOS PAC ID: 0840603767 Enrollment ID: I20240227001513 |
| Provider Name | Irmalynn Mooneyham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225470057 PECOS PAC ID: 4880838440 Enrollment ID: I20240313000165 |
| Provider Name | Jerel Keith Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750843876 PECOS PAC ID: 4688008394 Enrollment ID: I20240321003448 |
| Provider Name | Jenna Michelle Koepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851848352 PECOS PAC ID: 8426346826 Enrollment ID: I20240325002761 |
| Provider Name | Mercedes Jane Bryce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770294340 PECOS PAC ID: 1658743398 Enrollment ID: I20240423002377 |
| Provider Name | Jennifer Kurulgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861920514 PECOS PAC ID: 7719245679 Enrollment ID: I20240522001828 |
| Provider Name | Rachael Ofili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194498014 PECOS PAC ID: 2163820325 Enrollment ID: I20240530001183 |
| Provider Name | Jessica Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043704851 PECOS PAC ID: 9133462922 Enrollment ID: I20250217002158 |
| Provider Name | Chayna Hardy-reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508331778 PECOS PAC ID: 9133465057 Enrollment ID: I20250220003963 |
Mary Washington Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1041 Fax: 540-741-1408 | |
Fredericksburg Area Regional Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401 Phone: 540-741-1055 Fax: 540-741-3103 | |
Primary And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 Phone: 540-785-9900 | |
Mount Arvon Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408 Phone: 540-862-6011 | |
Fredericksburg Geriatric Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Townes Pl, Fredericksburg, VA 22405 Phone: 800-832-9258 | |
Jay David Brock, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Lafayette Blvd, Fredericksburg, VA 22408 Phone: 540-891-5600 Fax: 540-891-9034 | |
Medidoctors Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1428 Fax: 540-741-1420 |