Dr Alan Howard Wynn, MD | |
14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 | |
(703) 359-7878 | |
(703) 490-7650 |
Full Name | Dr Alan Howard Wynn |
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Gender | Male |
Speciality | Internal Medicine |
Location | 14139 Potomac Mills Rd, Woodbridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821153149 | NPI | - | NPPES |
006064043 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101040884 (Virginia) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744 |
Mailing Address | Practice Location Address |
---|---|
Dr Alan Howard Wynn, MD 12280 Pondwater Ct, Woodbridge, VA 22192-6620 Ph: (703) 703-8198 | Dr Alan Howard Wynn, MD 14139 Potomac Mills Rd, Woodbridge, VA 22192-4644 Ph: (703) 359-7878 |
Sowjanya Bhagavatula, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-490-8400 | |
Dr. Uzma Amer Mian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4899 Prince William Pkwy, Woodbridge, VA 22192 Phone: 833-510-4357 | |
Dr. Jack C Huang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192 Phone: 703-580-0181 Fax: 703-897-8763 | |
Maria Joy Flick, FNP-C Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12872 Harbor Dr, Woodbridge, VA 22192 Phone: 540-207-9303 | |
Dr. Nizar Mohamed Hussain, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-4116 Fax: 703-497-0051 | |
Fiona Mienko, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2280 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-590-8300 Fax: 703-590-8301 | |
Elena Short, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-359-7878 |