Dr Jonathan Michael Mobley, MD | |
3700 Joseph Siewick Dr Ste 101, Fairfax, VA 22033-1737 | |
(703) 698-1856 | |
(703) 207-0843 |
Full Name | Dr Jonathan Michael Mobley |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 23 Years |
Location | 3700 Joseph Siewick Dr Ste 101, Fairfax, 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 |
---|---|---|---|
1164458782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 2012009848 (Missouri) | Secondary |
208800000X | Urology | 0101256473 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Fair Oaks Hospital | Fairfax, VA | Hospital |
Inova Fairfax Hospital | Falls church, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inova Health Care Services | 2466351093 | 1778 |
Entity Name | Inova Health Care Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
Entity Name | Fair Oaks Urology, L.l.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982140687 PECOS PAC ID: 3274818901 Enrollment ID: O20170321001182 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Michael Mobley, MD Po Box 37174, Baltimore, MD 21297-3174 Ph: (571) 423-5699 | Dr Jonathan Michael Mobley, MD 3700 Joseph Siewick Dr Ste 101, Fairfax, VA 22033-1737 Ph: (703) 698-1856 |
Dr. Domingo E Suatengco, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 3700 Joseph Siewick Dr, Suite 206, Fairfax, VA 22033 Phone: 703-476-0901 Fax: 702-264-9762 | |
Dr. Rachel Edlin Selekman, MD Urology Medicare: Medicare Enrolled Practice Location: 3023 Hamaker Ct Ste 500, Fairfax, VA 22031 Phone: 571-766-3096 | |
James Ritchie Jezior, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 12255 Fair Lakes Pkwy Bldg 4th, Fairfax, VA 22033 Phone: 703-934-4120 | |
William Lloyd Glover Jr., M.D. Urology Medicare: Medicare Enrolled Practice Location: 10875 Main St, Suite 208, Fairfax, VA 22030 Phone: 703-591-5443 Fax: 703-591-0486 | |
Sunil V Patel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3020 Hamaker Court, Suite B-111, Fairfax, VA 22031 Phone: 703-876-0288 Fax: 703-876-0290 | |
Simon Sinmin Chung, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-0241 |