Dr Jeremiah J Depue, MD | |
8008 Westpark Dr, Kaiser Permanente Tysons Corner Medical Center, Mc Lean, VA 22102-3109 | |
(703) 287-6400 | |
Not Available |
Full Name | Dr Jeremiah J Depue |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 19 Years |
Location | 8008 Westpark Dr, Mc Lean, 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 |
---|---|---|---|
1093864795 | NPI | - | NPPES |
390200000X | Other | DC | STUDENT IN AN ORGANIZED H |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 0101242180 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Fair Oaks Hospital | Fairfax, VA | Hospital |
Sibley Memorial Hospital | Washington, DC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surgical Anesthesia Associates Pllc | 5890739205 | 115 |
Inova Cares - Community | 9537526330 | 201 |
Inova Cares - Community | 9537526330 | 201 |
Entity Name | Surgical Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811930647 PECOS PAC ID: 5890739205 Enrollment ID: O20050616000610 |
Entity Name | Metromac Anesthesiology, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437456951 PECOS PAC ID: 0648455097 Enrollment ID: O20110428000214 |
Entity Name | Inova Cares - Community |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230620001611 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremiah J Depue, MD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424 | Dr Jeremiah J Depue, MD 8008 Westpark Dr, Kaiser Permanente Tysons Corner Medical Center, Mc Lean, VA 22102-3109 Ph: (703) 287-6400 |
Daniel M Moy, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Kristina Jean Poller, D.O Anesthesiology Medicare: Medicare Enrolled Practice Location: 8008 Westpark Dr, Kaiser Permanente Tysons Corner Medical Center, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Antoinette Barbara Covin, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 8008 Westpark Dr, Kaiser Permanente Tysons Corner Medical Center, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Josephine Tracy, M.D, MPH Anesthesiology Medicare: Medicare Enrolled Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 860-884-5508 | |
Dr. James Chien-jiun Tsai, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 8008 Westpark Dr, Kaiser Permanente Tysons Corner Medical Center, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Ms. Jennifer G Resta, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8008 Westpark Dr, Kaiser Permanente Tysons Corner Medical Center, Mc Lean, VA 22102 Phone: 703-287-6400 |