Dr Kathy Diep Ngoc Tieu, MD | |
3700 Joseph Siewick Dr, 404, Fairfax, VA 22033-1744 | |
(703) 620-8900 | |
(703) 620-2288 |
Full Name | Dr Kathy Diep Ngoc Tieu |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 22 Years |
Location | 3700 Joseph Siewick Dr, Fairfax, 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 |
---|---|---|---|
1811973951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 0101235150 (Virginia) | Secondary |
207N00000X | Dermatology | 0101235150 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Clinical Skin Center Of Northern Virginia Pllc | 3173416369 | 7 |
Entity Name | The Clinical Skin Center Of Northern Virginia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700887387 PECOS PAC ID: 3173416369 Enrollment ID: O20040203000291 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathy Diep Ngoc Tieu, MD 12544 Pinecrest Rd, Herndon, VA 20171-2530 Ph: () - | Dr Kathy Diep Ngoc Tieu, MD 3700 Joseph Siewick Dr, 404, Fairfax, VA 22033-1744 Ph: (703) 620-8900 |
Benjamin Behnoud Nia, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr Ste 302, Fairfax, VA 22033 Phone: 703-648-2488 Fax: 703-648-2489 | |
Dr. Caleb Lee, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10100 Fairfax Blvd, Fairfax, VA 22030 Phone: 703-679-1876 | |
Dr. Monica Nabil Saleh Valentin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11351 Random Hills Rd, Fairfax, VA 22030 Phone: 443-351-3376 | |
Dr. Kavya Desai, MD, MPH Dermatology Medicare: Medicare Enrolled Practice Location: 8316 Arlington Blvd Ste 400, Fairfax, VA 22031 Phone: 703-641-0083 Fax: 703-641-0085 | |
Dr. Kathleen Ellison, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8316 Arlington Blvd Ste 400, Fairfax, VA 22031 Phone: 703-641-0083 Fax: 703-641-0085 | |
Etsubdenk Mezemir Ajebo, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4211 Fairfax Corner Ave E # E, Fairfax, VA 22030 Phone: 703-280-1372 | |
Jack Michael Costa, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3650 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033 Phone: 703-391-2516 Fax: 703-476-8244 |