Dr John P Mamana, MD - Internal Medicine in Reston, VA

Dr John P Mamana, MD is a Internal Medicine physician based in Reston, Virginia. Dr John P Mamana is licensed to practice in Virginia (license number 0101021602) and his current practice location is 12040 S Lakes Dr, Suite 205, Reston, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 230-6990.

NPI number for Dr John P Mamana is 1487654554 and his current mailing address is 12040 S Lakes Dr, Suite205, Reston, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487654554.

Contact Information

Dr John P Mamana, MD
12040 S Lakes Dr, Suite 205,
Reston, VA 20191-1246
(703) 230-6990
(703) 230-6990

Map and Direction




Physician's Profile

Full NameDr John P Mamana
GenderMale
SpecialityInternal Medicine
Location12040 S Lakes Dr, Reston, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487654554
  • Provider Enumeration Date: 07/29/2005
  • Last Update Date: 03/25/2010

Medical Identifiers

Medical identifiers for Dr John P Mamana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487654554NPI-NPPES
224013OtherVATRIGON KEYAD
257642OtherVAMDIPA/OPTIMUM CHOICE/MAMS
5820308MedicaidVA
461832OtherVAAETNA/US HEALTHCARE
505114OtherVANCPPO
45560004OtherVABCBS DC CAPCARE
5325453-022OtherVACIGNA HMO
0400438OtherVAUNITED HEALTH VIRGINIA
4092013OtherVAAHP MGD CHOICE
541908735OtherVAPREFERRED PLAN
224013OtherVAANTHEM HEALTHKEEPERS
110184237OtherVARAILROAD MEDICARE
723576OtherVAAFFORDABLE FIRST HEALTH
0403501OtherVAUNITED HEALTH MID-ATLANTI
541908735OtherVACCN
541908735OtherVAPHCS
360386OtherVAONE HEALTH GREATWEST
541908735OtherVACHAMPUS/TRICARE/STANDARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0101021602 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John P Mamana is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John P Mamana, MD
12040 S Lakes Dr, Suite205,
Reston, VA 20191-1246

Ph: (703) 230-6990
Dr John P Mamana, MD
12040 S Lakes Dr, Suite 205,
Reston, VA 20191-1246

Ph: (703) 230-6990

Reviews and Comments


Internal Medicine Doctors in Reston, VA

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James William Cleveland, M.D.
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Phone: 703-481-5212    

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