Dr Jennifer Brooke Boudreau, MD | |
540 Fort Evans Rd, Suite 204, Leesburg, VA 20176-3379 | |
(703) 737-3500 | |
(703) 737-3550 |
Full Name | Dr Jennifer Brooke Boudreau |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 14 Years |
Location | 540 Fort Evans Rd, Leesburg, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811216021 | NPI | - | NPPES |
3810026353 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25438 (West Virginia) | Secondary |
207Q00000X | Family Medicine | 0101258315 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Loudoun Hospital | Leesburg, VA | Hospital |
Entity Name | Vita Family Medicine And Medspa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730532359 PECOS PAC ID: 4688962442 Enrollment ID: O20161011000603 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Brooke Boudreau, MD 540 Fort Evans Rd, Suite 204, Leesburg, VA 20176-3379 Ph: (703) 737-3500 | Dr Jennifer Brooke Boudreau, MD 540 Fort Evans Rd, Suite 204, Leesburg, VA 20176-3379 Ph: (703) 737-3500 |
David Wayne Stewart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 209 Old Waterford Rd Nw, Leesburg, VA 20176 Phone: 703-779-9300 Fax: 703-779-9733 | |
Benjamin Harrison Mcilwaine, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 44045 Riverside Pkwy, Inova Loudoun Hospital, Leesburg, VA 20176 Phone: 703-858-6044 Fax: 705-858-6775 | |
Khurram N. Ali, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396 | |
Karen Elizabeth Alexander, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396 | |
Dr. Tony Chieuvan Nguyen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396 | |
Dr. Charles H. Cho, D.O.. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396 Fax: 703-840-1397 | |
Minnie Sheila L Cruz-tolentino, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1604 Village Market Blvd Se Ste 119, Leesburg, VA 20175 Phone: 703-777-9355 Fax: 703-783-5395 |