Berkley June Petersen, AUD | |
6355 Walker Lane, Suite 308, Alexandria, VA 22310-3247 | |
(703) 313-7700 | |
(703) 313-0178 |
Full Name | Berkley June Petersen |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 4 Years |
Location | 6355 Walker Lane, Suite 308, Alexandria, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689280802 | NPI | - | NPPES |
30017888610001 | Medicaid | VA | |
1689280802 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 3532 (California) | Secondary |
231H00000X | Audiologist | 2201001869 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Otolaryngology Associates Pc | 8022188069 | 25 |
Otolaryngology Associates Pc | 8022188069 | 25 |
Provider Name | Otolaryngology Associates Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861534836 PECOS PAC ID: 8022188069 Enrollment ID: O20080603000688 |
Mailing Address | Practice Location Address |
---|---|
Berkley June Petersen, AUD 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Berkley June Petersen, AUD 6355 Walker Lane, Suite 308, Alexandria, VA 22310-3247 Ph: (703) 313-7700 |
Dr. Sarah E Archer, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6355 Walker Lane, Suite 308, Alexandria, VA 22310 Phone: 703-313-7700 Fax: 703-313-0178 | |
Jennifer L Little, AUD, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6355 Walker Ln, 308, Alexandria, VA 22310 Phone: 703-313-7700 Fax: 703-313-0178 | |
Donna Proctor Ettinger, M.ED., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 8350 Richmond Hwy, Suite 233, Alexandria, VA 22309 Phone: 703-704-6159 Fax: 703-704-6671 | |
Dr. Jordan Rose Mecca, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6355 Walker Lane, Suite 308, Alexandria, VA 22310 Phone: 703-313-7700 Fax: 703-313-0178 | |
Ms. Janani Perera, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 6355 Walker Ln Ste 411, Alexandria, VA 22310 Phone: 703-922-4262 Fax: 703-921-1056 | |
Jessica Januszewski, Audiologist Medicare: Medicare Enrolled Practice Location: 2616 Sherwood Hall Ln Ste 408, Alexandria, VA 22306 Phone: 703-780-8929 | |
Johnna Stoup, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2616 Sherwood Hall Ln Ste 408, Alexandria, VA 22306 Phone: 703-780-8929 Fax: 703-921-1056 |