Glenn Lorin Tonnesen, MD | |
8081 Innovation Park Dr, Fairfax, VA 22031-4867 | |
(571) 472-0606 | |
(571) 472-0540 |
Full Name | Glenn Lorin Tonnesen |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 8081 Innovation Park 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 |
---|---|---|---|
1679549224 | NPI | - | NPPES |
298927 | Other | MAMSI | |
0101-033480 | Other | VA | MEDICAL LICENSE |
95750002 | Other | BCBS | |
4137665 | Other | AETNA | |
1679549224 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 0101-033480 (Virginia) | Primary |
Entity Name | Radiation Oncology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013962836 PECOS PAC ID: 1254302359 Enrollment ID: O20040805000155 |
Mailing Address | Practice Location Address |
---|---|
Glenn Lorin Tonnesen, MD 9568 Kings Charter Dr Ste 202, Ashland, VA 23005-7955 Ph: (804) 266-8717 | Glenn Lorin Tonnesen, MD 8081 Innovation Park Dr, Fairfax, VA 22031-4867 Ph: (571) 472-0606 |
Jing Selia Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-573-0880 | |
Cheryl A Lindstrom, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-698-2176 | |
Sameena F Nasrullah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-573-0880 | |
Elise L. Berman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, #230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-573-0880 | |
Suzanne M Hand, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4444 | |
Rodney J Butch, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2722 Merrilee Dr, Ste. 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-698-2176 | |
Lily Chu Sicard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-573-0880 |