OrganizationCenterwell Senior Primary Care Va Pllc(Centerwell Senior Primary Care Va Pc)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address1118 W Mercury Blvd, Hampton, VA 23666-3328(757) 276-9526(305) 500-2000PECOS EnrollmentBased on the most recent information from CMS, provider Centerwell Senior Primary Care Va Pllc 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 today at 11:47 AM.Profile DetailsProvider ID1144920497Provider TypeOrganizationFull NameCenterwell Senior Primary Care Va PllcOther NameCenterwell Senior Primary Care Va PcSubpartYesEnumeration Date3/6/2023Last Updated8/19/2024Contact InformationPractice LocationPractice Address1118 W Mercury Blvd, Hampton, VA 23666-3328Phone(757) 276-9526Fax(877) 487-2116Mailing LocationMailing Address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168Phone(305) 500-2000FaxUnlisted FaxAuthorized OfficialNameMartinez, Angie (Senir Credentialing Professional)Phone(407) 447-7120Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer