Dr Marc A Childress, MD | |
3650 Joseph Siewick Drive, Suite 400, Fairfax, VA 22033 | |
(703) 391-2020 | |
(703) 391-1211 |
Full Name | Dr Marc A Childress |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 22 Years |
Location | 3650 Joseph Siewick Drive, 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 |
---|---|---|---|
1124117015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01059898A (Indiana) | Secondary |
207Q00000X | Family Medicine | 0101252825 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Fair Oaks Hospital | Fairfax, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inova Physician Partners Llc | 2466581772 | 313 |
Entity Name | Privia Medical Group Llc |
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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 Marc A Childress, MD 12011 Lee Jackson Memorial Highway, Suite 504, Fairfax, VA 22033-3315 Ph: (703) 391-2070 | Dr Marc A Childress, MD 3650 Joseph Siewick Drive, Suite 400, Fairfax, VA 22033 Ph: (703) 391-2020 |
Thuy Phuong Thi Vo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033 Phone: 703-391-2020 | |
Dr. David Drake Leonard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3911 Blenheim Blvd Ste 41c, Fairfax, VA 22030 Phone: 703-352-7100 Fax: 703-539-8579 | |
Andaleeb Rahman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 Fair Lakes Pkwy, Fairfax, VA 22033 Phone: 703-359-7878 | |
Christine Marie Longo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2987 District Ave Ste 120, Fairfax, VA 22031 Phone: 888-663-6331 | |
Dr. Sally May Abilmona, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033 Phone: 703-391-2020 | |
Hannah Byrd Depoy, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3650 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-2020 | |
Dr. Heon Soo Yi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033 Phone: 703-391-2020 |