Miranda Brittany Velasquez, | |
8986 Lorton Station Blvd, Lorton, VA 22079-4753 | |
(571) 616-9579 | |
Not Available |
Full Name | Miranda Brittany Velasquez |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 8986 Lorton Station Blvd, Lorton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689306995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 2201001967 (Virginia) | Primary |
231H00000X | Audiologist | (* (Not Available)) | Secondary |
Provider Name | Audiology Services Company Usa Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033585302 PECOS PAC ID: 9032414701 Enrollment ID: O20180131001812 |
Mailing Address | Practice Location Address |
---|---|
Miranda Brittany Velasquez, 4308 Star Ln, Rockville, MD 20852-2430 Ph: (301) 525-1464 | Miranda Brittany Velasquez, 8986 Lorton Station Blvd, Lorton, VA 22079-4753 Ph: (571) 616-9579 |
Advanced Hearing Healthcare Audiologist Medicare: Not Enrolled in Medicare Practice Location: 8986 Lorton Station Blvd, #201, Lorton, VA 22079 Phone: 703-339-7776 Fax: 703-339-0083 | |
Dr. Steven Thomas Kulsar, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 8986 Lorton Station Blvd Ste 201, Lorton, VA 22079 Phone: 703-339-7776 Fax: 571-489-5531 |