Dr Brian Egan, MD | |
6845 Elm Street, Suite 611, Mclean, VA 22101-3822 | |
(703) 956-6880 | |
(703) 893-7336 |
Full Name | Dr Brian Egan |
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Gender | Male |
Speciality | Ophthalmology |
Location | 6845 Elm Street, Mclean, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164598470 | NPI | - | NPPES |
1164598470 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | D33736 (Maryland) | Secondary |
207W00000X | Ophthalmology | 0101039522 (Virginia) | Primary |
207W00000X | Ophthalmology | MD13798 (District Of Columbia) | Secondary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Egan, MD 6845 Elm Street, Suite 611, Mclean, VA 22101-3822 Ph: (703) 956-6880 | Dr Brian Egan, MD 6845 Elm Street, Suite 611, Mclean, VA 22101-3822 Ph: (703) 956-6880 |
Dr. James B Sprague, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1515 Chain Bridge Rd, Suite G20, Mclean, VA 22101 Phone: 703-356-2141 Fax: 703-356-1492 | |
Dr. Kenneth D. Hansen, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6501 Bright Mountain Rd, Mclean, VA 22101 Phone: 703-589-7113 | |
Mrs. Colleen Anne Joseph, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1515 Chainbridge Rd, G 17, Mclean, VA 22101 Phone: 703-356-1927 Fax: 703-356-2223 |