Dr Peter L Scudera, MD | |
3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 | |
(703) 698-8960 | |
(647) 646-4744 |
Full Name | Dr Peter L Scudera |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 3700 Joseph Siewick Dr, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063488575 | NPI | - | NPPES |
334231 | Other | ANTHEM BCBS | |
334232 | Other | ANTHEM BCBS | |
178708 | Other | ANTHEM BCBS | |
187600 | Other | ANTHEM BCBS | |
452928 | Other | ANTHEM BCBS | |
6031102 | Medicaid | VA | |
341905 | Other | ANTHEM BCBS | |
100013570 | Other | VA | RAILROAD MEDICARE |
79160011 | Other | CAREFIRST BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 0101047453 (Virginia) | Primary |
Entity Name | Gastroenterology Associates Of Northern Virginia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205884368 PECOS PAC ID: 1759371008 Enrollment ID: O20040517001478 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter L Scudera, MD 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 Ph: (703) 698-8960 | Dr Peter L Scudera, MD 3700 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033-1744 Ph: (703) 698-8960 |
Shivangi Vachhani, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033 Phone: 877-511-4625 Fax: 703-204-9006 | |
Dr. Raymund S Cuevo, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-0241 | |
Dr. Michael Maitland, M.D., PH.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-1601 | |
Aswani Kumar Suthrave, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3600 | |
Nader H Balba, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3028 Javier Rd Ste 500, Fairfax, VA 22031 Phone: 703-698-8960 Fax: 571-494-5794 | |
Rona Harthill Earle, Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct Ste B102, Fairfax, VA 22031 Phone: 703-573-4072 Fax: 703-572-2153 | |
Renee Elizabeth Funches, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033 Phone: 703-934-5700 |