Dr Kevin J Lee, MD | |
555 Herndon Parkway, Suite 100, Herndon, VA 20170 | |
(703) 481-1505 | |
(703) 742-8793 |
Full Name | Dr Kevin J Lee |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 555 Herndon Parkway, Herndon, 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 |
---|---|---|---|
1194952978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0116021285 (Virginia) | Secondary |
207Q00000X | Family Medicine | 0101248162 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inova Health Care Services | 2466351093 | 1778 |
Inova Physician Partners Llc | 2466581772 | 313 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Entity Name | Inova Physician Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215264916 PECOS PAC ID: 2466581772 Enrollment ID: O20100525000846 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin J Lee, MD Po Box 791128, Baltimore, MD 21279 Ph: (703) 391-2030 | Dr Kevin J Lee, MD 555 Herndon Parkway, Suite 100, Herndon, VA 20170 Ph: (703) 481-1505 |
Dr. Fred Clayton Wilkins Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 Anthem Ave, Herndon, VA 20170 Phone: 703-376-7296 | |
Dr. Jason A. Cooper, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 Herndon Parkway, Ste 100, Herndon, VA 20170 Phone: 703-481-1505 Fax: 703-742-8793 | |
Robin L. Donald, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1141 Elden St, Third Floor, Herndon, VA 20170 Phone: 703-481-8160 Fax: 703-435-6752 | |
Mrs. Diviyalaxmi Muruganandam, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 381 Elden St Ste 1000, Herndon, VA 20170 Phone: 703-481-1505 Fax: 703-742-8793 | |
Bao-chau Audrey T Nguyen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 600 Herndon Pkwy Ste 200, Herndon, VA 20170 Phone: 703-464-6094 Fax: 703-689-8959 | |
Evelyn Butsome Sallah-koomson, APRN FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 106 Elden St Ste 18b, Herndon, VA 20170 Phone: 703-723-9100 Fax: 703-723-9200 |