Brendan L Waters, DO | |
2300 Opitz Blvd, Dept Of Radiology, Woodbridge, VA 22191 | |
(703) 607-1561 | |
Not Available |
Full Name | Brendan L Waters |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 26 Years |
Location | 2300 Opitz Blvd, Woodbridge, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043200579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0102201725 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Fairfax Hospital | Falls church, VA | Hospital |
Inova Alexandria Hospital | Alexandria, VA | Hospital |
Inova Fair Oaks Hospital | Fairfax, VA | Hospital |
Inova Mount Vernon Hospital | Alexandria, VA | Hospital |
Inova Loudoun Hospital | Leesburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ifrc Llc | 2961829882 | 98 |
Fairfax Radiological Consultants Pc | 8628970324 | 116 |
Inova Reston Mri Center Llc | 2961540042 | 77 |
Ifrc Llc | 2961829882 | 98 |
Fairfax Radiological Consultants Pc | 8628970324 | 116 |
Entity Name | Fairfax Radiological Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114902509 PECOS PAC ID: 8628970324 Enrollment ID: O20040123000043 |
Entity Name | Association Of Alexandria Radiologists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013935709 PECOS PAC ID: 4486567898 Enrollment ID: O20041030000215 |
Entity Name | Image Guided Pain Management, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831404284 PECOS PAC ID: 8729269048 Enrollment ID: O20110221000161 |
Entity Name | Ifrc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508405317 PECOS PAC ID: 2961829882 Enrollment ID: O20200824002339 |
Mailing Address | Practice Location Address |
---|---|
Brendan L Waters, DO 6 Franklin St, Alexandria, VA 22314-3868 Ph: (215) 432-3072 | Brendan L Waters, DO 2300 Opitz Blvd, Dept Of Radiology, Woodbridge, VA 22191 Ph: (703) 607-1561 |
John D Grimme, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4001 Prince William Pkwy Ste 302, Woodbridge, VA 22192 Phone: 703-494-3309 Fax: 703-321-3300 | |
Dr. Susan Elizabeth Boylan, MD Radiology Medicare: Medicare Enrolled Practice Location: 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191 Phone: 703-670-3349 Fax: 703-590-3199 | |
Palani Rathinasamy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-670-1561 Fax: 703-670-4961 | |
Robert A Olshaker, MD Radiology Medicare: Medicare Enrolled Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-670-1561 Fax: 703-670-4961 | |
Lawrence J Israel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-670-1561 Fax: 703-670-4961 | |
James Anthony Urso, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blved, Woodbridge, VA 23059 Phone: 703-523-1000 |