Barrett Bolton Brown, MD | |
3289 Woodburn Road, Suite #220, Annandale, VA 22003 | |
(703) 698-1080 | |
(703) 698-1082 |
Full Name | Barrett Bolton Brown |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 3289 Woodburn Road, Annandale, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497755656 | NPI | - | NPPES |
006644732 | Medicaid | VA | |
220018829 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 0101047808 (Virginia) | Primary |
Entity Name | Old Dominion Pathology Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134449051 PECOS PAC ID: 6406045285 Enrollment ID: O20110110000421 |
Mailing Address | Practice Location Address |
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Barrett Bolton Brown, MD Po Box 221322, Chantilly, VA 20153-1322 Ph: (703) 776-2368 | Barrett Bolton Brown, MD 3289 Woodburn Road, Suite #220, Annandale, VA 22003 Ph: (703) 698-1080 |
Bart J. Harmon, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3800 Rose Ln, Annandale, VA 22003 Phone: 703-298-7428 | |
Dr. David Stanley Harrer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3299 Woodburn Rd, 210, Annandale, VA 22003 Phone: 703-207-7072 Fax: 703-207-7074 | |
Sara Ali Mustafa, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3289 Woodburn Rd Ste 220, Annandale, VA 22003 Phone: 703-698-1080 |