Brian Neal Glick, MD | |
3022 Williams Dr, Ste 300, Fairfax, VA 22031-4600 | |
(703) 573-9800 | |
(703) 573-2959 |
Full Name | Brian Neal Glick |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 3022 Williams Dr, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790792539 | NPI | - | NPPES |
6061001 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 0101049247 (Virginia) | Primary |
Entity Name | General Internal Medicine Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497856793 PECOS PAC ID: 6507857190 Enrollment ID: O20040521000769 |
Mailing Address | Practice Location Address |
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Brian Neal Glick, MD 611 S Carlin Springs Rd, Suite 405, Arlington, VA 22204-1087 Ph: (703) 671-2490 | Brian Neal Glick, MD 3022 Williams Dr, Ste 300, Fairfax, VA 22031-4600 Ph: (703) 573-9800 |
Shivangi Vachhani, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033 Phone: 877-511-4625 Fax: 703-204-9006 | |
Dr. Raymund S Cuevo, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-0241 | |
Dr. Michael Maitland, M.D., PH.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-1601 | |
Aswani Kumar Suthrave, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3600 | |
Nader H Balba, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3028 Javier Rd Ste 500, Fairfax, VA 22031 Phone: 703-698-8960 Fax: 571-494-5794 | |
Rona Harthill Earle, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct Ste B102, Fairfax, VA 22031 Phone: 703-573-4072 Fax: 703-572-2153 | |
Renee Elizabeth Funches, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033 Phone: 703-934-5700 |