Ellen M Jenkins, MD | |
3022 Williams Drive, Suite 300, Fairfax, VA 22031 | |
(703) 573-9800 | |
(703) 573-2959 |
Full Name | Ellen M Jenkins |
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Gender | Female |
Speciality | Internal Medicine |
Location | 3022 Williams Drive, 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 |
---|---|---|---|
1518075704 | NPI | - | NPPES |
6015174 | Medicaid | VA | |
110153968 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 0101046540 (Virginia) | Secondary |
207R00000X | Internal Medicine | 0101046540 (Virginia) | Primary |
Entity Name | General Internal Medicine Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497856793 PECOS PAC ID: 6507857190 Enrollment ID: O20040521000769 |
Entity Name | Inova Physician Partners Llc |
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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 |
---|---|
Ellen M Jenkins, MD 3022 Williams Drive, Suite 300, Fairfax, VA 22031 Ph: (703) 573-9800 | Ellen M Jenkins, MD 3022 Williams Drive, Suite 300, Fairfax, VA 22031 Ph: (703) 573-9800 |
Shivangi Vachhani, M.D. Internal Medicine 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. Internal Medicine 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. Internal Medicine 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. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3600 | |
Nader H Balba, MD Internal Medicine 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, Internal Medicine 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. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033 Phone: 703-934-5700 |