City of Portsmouth
A Medicare group practice based in Portsmouth, VA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9032173877), with 11 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9032173877
- Provider type
- Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
- Enrolled in
- VA
- Enrollments
- 3
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 9
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20041112000176 | VA | Part B Supplier - Clinic/Group Practice | 1093891699 |
| O20070525000385 | VA | Part B Supplier - Ambulance Service Supplier | 1528022571 |
| O20200430001981 | VA | Part B Supplier - Opioid Treatment Program (Otp) | 1093891699 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
City of Portsmouth
- Community/Behavioral Health Agency
- Portsmouth, VA
- NPI 1093891699
-
City of Portsmouth
- Paramedic
- Portsmouth, VA
- NPI 1528022571
Practice locations
- Portsmouth, VA9
Clinicians 11
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (9).
-
Louisa Apongse Ayafor Ndamukong, MD
- Psychiatry Physician
- Portsmouth, VA
- NPI 1013165695
-
Trimaine M. Brinkley, MD
- Psychiatry Physician
- Columbia, SC
- NPI 1871721464
-
Kelly S Dwyer, LPC
- Professional Counselor
- Portsmouth, VA
- NPI 1386490217
-
Kevin Wayne Johnson, DO
- Child & Adolescent Psychiatry Physician
- Tulsa, OK
- NPI 1104212562
-
Monica Mamina Kelly-Coleman, FNP
- Family Nurse Practitioner
- Eden, NC
- NPI 1558876706
-
William George McGlothlin, MD
- Psychiatry Physician
- Manassas, VA
- NPI 1174791859
-
Carey Savage
- Clinical Social Worker
- Chesapeake, VA
- NPI 1528264983
-
Sara Katharine Smith, LCSW
- Clinical Social Worker
- Portsmouth, VA
- NPI 1295834513
-
Juliette Marie Thompson, LPC
- Counselor
- Suffolk, VA
- NPI 1063224657
-
Federico Vizcaino, MD
- Psychiatry Physician
- Portsmouth, VA
- NPI 1295729309
-
Brittany Kay Zharnest, LCSW
- Clinical Social Worker
- Portsmouth, VA
- NPI 1417603705
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.