OrganizationRiverside Physician Services Inc(Riverside Center For Internal And Family Medicine)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address850 Enterprise Pkwy, Ste 2200, Hampton, VA 23666-6251(757) 251-2170(757) 594-4006PECOS EnrollmentBased on the most recent information from CMS, provider Riverside Physician Services Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134399066Provider TypeOrganizationFull NameRiverside Physician Services IncOther NameRiverside Center For Internal And Family MedicineSubpartYesEnumeration Date3/6/2008Last Updated9/17/2024Contact InformationPractice LocationPractice Address850 Enterprise Pkwy, Ste 2200, Hampton, VA 23666-6251Phone(757) 251-2170Fax(757) 251-2185Mailing LocationMailing Address856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318Phone(757) 594-4006Fax(757) 534-5190Authorized OfficialNameBrown, Billie Jo (Credentialing Manager)Phone(757) 316-5901Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer