Dristi Basnet, | |
4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | |
(571) 331-8086 | |
Not Available |
Full Name | Dristi Basnet |
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Gender | Female |
Speciality | Pediatrics |
Location | 4379 Ridgewood Center Dr Ste 102, Woodbridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407447931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0024179963 (Virginia) | Primary |
Entity Name | Greater Prince William Area Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366591562 PECOS PAC ID: 9436258209 Enrollment ID: O20070619000479 |
Mailing Address | Practice Location Address |
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Dristi Basnet, 11901 Washington St, Fairfax, VA 22030-5740 Ph: () - | Dristi Basnet, 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 Ph: (571) 331-8086 |
Paula A Labriola, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647 | |
Dr. Lisa A Pauls, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14139 Potomac Mills Road, Woodbridge, VA 22192 Phone: 703-490-7747 Fax: 703-490-7650 | |
Joseph V Puglise, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647 | |
Azka Sophie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-490-8400 | |
Jocelyn D Trent, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2296 Opitz Blvd, Suite 403, Woodbridge, VA 22191 Phone: 703-878-2233 Fax: 703-878-2254 | |
Frances Marie Vega, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647 | |
Erica Larae Wynn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-490-7740 |