Practitioner & Office
Practitioner Name
Angela Lukuyu
Office Name
Your Office Name
Practice ID
36070530
EIN
Add EIN
Group NPI
Add Group NPI
Office Email
office@example.com
Phone No
(860) 970-3795
Address
1224 Norwyk Lane, Williamsburg, VA 23188, United States
Compliance & Certificates
Manage DocsFCC.GOV Certificate
OSHA & HIPAA Certificates
OpenTelemed Cert
OIG Compliance Plan Writing and Certification
HIPAA IT Setup
HRSA HHS Certificate
SAM.GOV UEI Certificate
Agreement Copy
Malpractice Insurance
Patient Forms
Business Website
Collaborative Physician
Billing Contractor
Billing Contractor 1099 NEC
Fees Paid by OpenTelemed
Total Patients
0
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Total OON Credit
$0
All patients
Available Credit
$0
Unspent
Used Credit
$0
Spent
Patients
| Patient Name | Patient Source | Assigned ID | Phone No | Address | Total OON Credit | Available Credit | Last eVisit | Medical Hx | Assigned Date |
|---|