MEDICARE: WELLCARE MEDICAL GROUP PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084B0040X	Behavioral Neurology & Neuropsychiatry Physician
2	363LF0000X	Family Nurse Practitioner
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	363L00000X	Nurse Practitioner
5	207Q00000X	Family Medicine Physician
6	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1962341461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLCARE MEDICAL GROUP PC

Provider Business Mailing Address
First Line	:	9211 FOREST HILL AVE STE 200-208
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-6874
Country	:	US
Telephone Number	:	571-570-1661
Fax Number	:	571-570-1442

Provider Business Practice Location Address
First Line	:	9211 FOREST HILL AVE STE 200-208
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-6874
Country	:	US
Telephone Number	:	571-570-1661
Fax Number	:	571-570-1442

Authorized Official
Title or Position	:	OWNER
Name	:	ANDREW MICHAEL EPSTEIN
Credential	:	D.O.
Telephone Number	:	520-904-2147

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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