Charmaine N Elliott (NPI# 1699868802, PAC ID# 0941390454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1699868802 |
| PAC ID by PECOS | 0941390454 |
| Professional Enrollment ID | I20160405000134 |
| Full Name | Charmaine N Elliott |
| Organization Legal Name | BON SECOURS-VIRGINIA HEALTHSOURCE INC |
| Address |
1510 N 28th St Suite 308 Richmond VA 23223-5311 |
| Phone Number | 8046441665 |
| Gender | F |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3072411479 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490094 | BON SECOURS RICHMOND COMMUNITY HOSPITAL |
| 490059 | BON SECOURS ST MARYS HOSPITAL |
| 490069 | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1510 N 28th St, Suite 308, Richmond, VA 23223-5311 | 8046441665 | BON SECOURS-VIRGINIA HEALTHSOURCE INC |
| Organization Legal Name | BON SECOURS-VIRGINIA HEALTHSOURCE INC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelley Shanahan | Nurse Practitioner | Bon Secours-virginia Healthsource Inc | 10571 Telegraph Rd, Suite 130, Glen Allen, VA 23059-4652 |
| Michael E Kelly | Cardiovascular Disease (cardiology) | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Berna A Seabrook | Nurse Practitioner | Bon Secours-virginia Healthsource Inc | 2421 Chamberlayne Ave, Richmond, VA 23222-4205 |
| James R Daniels Jr. | General Surgery | Bon Secours-virginia Healthsource Inc | 5855 Bremo Rd, Suite 506, Richmond, VA 23226-1925 |
| George Parker | General Practice | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Cecilia L Santos | Internal Medicine | Bon Secours-virginia Healthsource Inc | 101 Harris Rd, Kilmarnock, VA 22482-3880 |
| Brennan J Carmody | General Surgery | Bon Secours-virginia Healthsource Inc | 5855 Bremo Rd, Suite 506, Richmond, VA 23226-1925 |
| Allen Y Tsui | Family Medicine | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Joynita M Nicholson | Family Medicine | Bon Secours-virginia Healthsource Inc | 1362 Tappahannock Blvd, Tappahannock, VA 22560-9309 |
| Michael A White | General Surgery | Bon Secours-virginia Healthsource Inc | 5855 Bremo Rd, Suite 506, Richmond, VA 23226-1925 |
| Street Address |
1510 N 28TH ST SUITE 308 |
| City | RICHMOND |
| State | VA |
| Zip | 23223-5311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tasha B Dickerson | Family Medicine | Dominion Medical Associates, Inc. | 1510 N 28th St, Suite 204, Richmond, VA 23220 |
| Paula N Allocca | Nurse Practitioner | Bon Secours Memorial Regional Medical Center Inc | 1510 N 28th St, Richmond, VA 23223-5311 |
| Damien L Covington | Family Medicine | Dominion Medical Associates, Inc. | 1510 N 28th St, Suite 204, Richmond, VA 23220 |
| Lindley T Smith | Ophthalmology | 1510 N 28th St, Suite 201, Richmond, VA 23223-5311 | |
| Richard A Jackson | Internal Medicine | Dominion Medical Associates, Inc. | 1510 N 28th St, Suite 204, Richmond, VA 23220 |
| Ashley H Sandridge | Nurse Practitioner | Bon Secours - Richmond Community Hospital, Incorporated | 1510 N 28th St, Suite 110, Richmond, VA 23223-5311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa J Call | Emergency Medicine | Emergency Medicine Associates Pa PC | 1500 N 28th St, Richmond, VA 23223-5332 |
| Natalie Wood | Emergency Medicine | Emergency Medicine Associates Pa PC | 1500 N 28th St, Richmond, VA 23223-5332 |
| Nitisha Md Kamath | Internal Medicine | Hospitalist Medicine Physicians of Virginia LLC | 1500 N 28th St, Richmond, VA 23223-5332 |
| Kenneth B Brown | Emergency Medicine | Emergency Medicine Associates Pa PC | 1500 N 28th St, Richmond, VA 23223-5332 |
| Aaron C Rudd | Emergency Medicine | Emergency Medicine Associates Pa PC | 1500 N 28th St, Richmond, VA 23223-5332 |
| Rehan Saleem | Psychiatry | Bon Secours Memorial Regional Medical Center Inc | 1500 N 28th St, Richmond, VA 23223-5332 |
| Katharine S Catlett | Emergency Medicine | Emergency Medicine Associates Pa PC | 1500 N 28th St, Richmond, VA 23223-5332 |
| Samuel B Hunter | Pathology | 1500 N 28th St, Richmond, VA 23223-5332 | |
| Jaimin Patel | Internal Medicine | Hospitalist Medicine Physicians of Virginia LLC | 1500 N 28th St, Richmond, VA 23223-5332 |
| James K Palma | Emergency Medicine | Emergency Medicine Associates Pa PC | 1500 N 28th St, Richmond, VA 23223-5332 |
| Find all physicians in zip 23223 | |||
| City | RICHMOND |
| Zip Code | 23223 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | RICHMOND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charmaine N Elliott.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.