Corey Dewitt, MD | |
19465 Deerfield Avenue, Suite 401, Leesburg, VA 20176-1707 | |
(703) 723-5700 | |
(703) 723-5778 |
Full Name | Corey Dewitt |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 9 Years |
Location | 19465 Deerfield Avenue, Suite 401, Leesburg, 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 |
---|---|---|---|
1417342890 | NPI | - | NPPES |
30017465030001 | Medicaid | VA | |
1417342890 | Medicaid | VA |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loudoun Medical Group, Pc | 0042119661 | 288 |
Maryland Skin Cancer Specialists, Pa | 1850363672 | 3 |
Entity Name | Loudoun Medical Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
Mailing Address | Practice Location Address |
---|---|
Corey Dewitt, MD 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Corey Dewitt, MD 19465 Deerfield Avenue, Suite 401, Leesburg, VA 20176-1707 Ph: (703) 723-5700 |
Roberta Maureen Moreland, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 19415 Deerfield Ave, Suite 314, Leesburg, VA 20176 Phone: 703-723-7171 Fax: 703-723-7176 | |
Dr. Jane T Nguyen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19455 Deerfield Ave, Suite 311, Leesburg, VA 20176 Phone: 703-723-9751 Fax: 703-723-9752 | |
Dr. Elaine Teresa Eliezer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 823a South King St, Suite A, Leesburg, VA 20175 Phone: 703-771-9330 Fax: 703-771-9333 | |
Michael Mclain Todd, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19465 Deerfield Ave, Suite 401, Leesburg, VA 20176 Phone: 703-723-5700 Fax: 703-723-5778 | |
Van Trong Ha, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 19415 Deerfield Avenue, Suite 314, Leesburg, VA 20176 Phone: 703-723-7171 Fax: 703-723-7176 |